Organization
CENTER FOR COLLABORATIVE FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KING PHD, LMFT (CLINICAL DIRECTOR)
(207) 489-9393
Entity
Organization
Contact information
Practice address
21 MEMORIAL HWY, NORTH YARMOUTH, ME 04097-6327
(207) 489-9393
(207) 489-9393
Mailing address
119 RAVINE DR, CUMBERLAND FORESIDE, ME 04110-1134
(585) 354-7724
(207) 489-9393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821283235
JENNIFER KING
NY
Enumeration date
09/16/2021
Last updated
09/16/2021
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