Organization
WASHINGTON COUNTY PSYCHOTHERAPY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARDS PH.D. (CHIEF EXECUTIVE OFFICER)
(207) 255-4990
Entity
Organization
Contact information
Practice address
1 STACKPOLE RD, MACHIAS, ME 04654
(207) 255-0996
Mailing address
294 E. KENNEBEC RD., MACHIAS, ME 04654
(207) 255-4990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
229841
ME
101Y00000X
Counselor
354881
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
401871
ME
103G00000X
Clinical Neuropsychologist
229841
ME
103T00000X
Psychologist
229841
ME
103T00000X
Psychologist
354881
ME
104100000X
Social Worker
229841
ME
104100000X
Social Worker
354881
ME
106H00000X
Marriage & Family Therapist
229841
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119790000
—
ME
05
—
119790001
—
ME
05
—
119790102
—
ME
05
—
119790105
—
ME
05
—
119790106
—
ME
05
—
119790200
—
ME
05
—
119790201
—
ME
05
—
119790202
—
ME
Enumeration date
10/17/2005
Last updated
02/24/2009
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