Organization
CHRISTIAN COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CONNELLY LCPC (MANAGER)
(207) 641-5345
Entity
Organization
Contact information
Practice address
518 US ROUTE 1, SUITE 11, KITTERY, ME 03904-2500
(207) 641-5345
Mailing address
PO BOX 257, WELLS, ME 04090-0257
(207) 641-5345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4388
ME
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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