Organization
CRISIS AND COUNSELING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MITCHELL (EXECUTIVE DIRECTOR)
(207) 626-3448
Entity
Organization
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330
(207) 626-3448
(207) 626-3453
Mailing address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 626-3453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558382747
—
ME
Enumeration date
07/22/2006
Last updated
04/01/2021
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