Organization
CHRISTOPHER AARON COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GOODELL LCSW (CLINICIAN)
(207) 657-7700
Entity
Organization
Contact information
Practice address
26 MAIN ST., GRAY, ME 04039-2002
(207) 657-7700
Mailing address
PO BOX 255, GRAY, ME 04039-0255
(207) 657-7700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC16462
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041CO700X
JEFFREY GOODELL
ME
Enumeration date
01/25/2017
Last updated
01/25/2017
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