Organization
MAGELLAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL PARKER CAS,ACSW,LCSW (DISTRICT EAP CONSULTANT)
(207) 854-5416
Entity
Organization
Contact information
Practice address
201 MAIN ST, WESTBROOK, ME 04092-4761
(207) 854-5416
(207) 854-5498
Mailing address
201 MAIN ST, WESTBROOK, ME 04092-4761
(207) 854-5416
(207) 854-5498
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
LC 4924
ME
305R00000X
Preferred Provider Organization
LC4924
ME
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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