Organization
KENNEBEC COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY STULTZ LCSW (OWNER)
(207) 861-1690
Entity
Organization
Contact information
Practice address
204 SHORE RD, FAYETTE, ME 04349-3238
(207) 489-4675
(207) 466-8507
Mailing address
204 SHORE RD, FAYETTE, ME 04349-3238
(207) 489-4675
(207) 466-8507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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