Organization
RIVERSTONES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SPENCER LCSW (CLINICAL SOCIAL WORKER)
(207) 739-2646
Entity
Organization
Contact information
Practice address
180 MAIN ST, NORWAY, ME 04268-5643
(207) 739-2646
Mailing address
PO BOX 526, NORWAY, ME 04268-0526
(207) 739-2646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC2197
ME
1041C0700X
Clinical Social Worker
Primary
LC10606
ME
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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