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Organization

BRIGHT MORNING STAR COUNSELING AND SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE GUAY LCPC-C (CO-EXECUTIVE DIRECTOR)
(207) 320-1790
Entity
Organization

Contact information

Practice address
343 MAIN ST., WILTON, ME 04294
(207) 320-1790
Mailing address
24 CHESTERVILLE RD, JAY, ME 04239-4521
(207) 320-1790

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
XL4179
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588086201
ME
Enumeration date
08/29/2017
Last updated
08/29/2017
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