Organization
KERISH BENTTINEN LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERISH BENTTINEN LCSW (OWNER)
(207) 649-9772
Entity
Organization
Contact information
Practice address
179 MAIN ST, SUITE 401, WATERVILLE, ME 04901-6672
(207) 649-9772
(207) 616-0577
Mailing address
11 1ST RANGEWAY, WATERVILLE, ME 04901-5161
(207) 649-9772
(207) 616-0577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13117
ME
Other
Enumeration date
08/22/2015
Last updated
08/22/2015
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