Organization
CROOKED RIVER COUNSELING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A CLOUGH-BELL LADC,CCS,ICADC,ICCS (PRESIDENT, OWNER)
(207) 743-1677
Entity
Organization
Contact information
Practice address
28 WINTER ST, SUITE 4, NORWAY, ME 04268-5620
(207) 743-1677
(207) 743-1614
Mailing address
28 WINTER ST., SUITE 4, NORWAY, ME 04268
(207) 743-1677
(207) 743-1614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
492099
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RQ6,031599
ANTHEM BEHV HEALTH PROV.#
ME
Enumeration date
03/07/2006
Last updated
08/22/2020
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