Individual
MS. ANNE KENDALL JANAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 PRESUMPSCOT ST, UNIT #9, PORTLAND, ME 04103-5225
(207) 871-1000
(207) 699-4301
Mailing address
125 PRESUMPSCOT ST, UNIT #9, PORTLAND, ME 04103-5225
(207) 871-1000
(207) 699-4301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9747
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009750
MEDICARE PTAN
ME
Enumeration date
01/04/2007
Last updated
02/02/2010
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