Organization
MYO2 HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI MARIE GIASSON MFT (CO-CEO)
(207) 653-3505
Entity
Organization
Contact information
Practice address
200 ICHABOD LANE EXT, GORHAM, ME 04038-2744
(207) 653-3505
Mailing address
200 ICHABOD LANE EXT, GORHAM, ME 04038-2744
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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