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Organization

A SIMPLE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SINDEE J GOZANSKY LCPC (PRESIDENT)
(207) 653-1496
Entity
Organization

Contact information

Practice address
53 EXCHANGE ST, SUITE 202, PORTLAND, ME 04101-5034
(207) 653-1496
(207) 842-9007
Mailing address
53 EXCHANGE ST, SUITE 202, PORTLAND, ME 04101-5034
(207) 653-1496
(207) 842-9007

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3809
ME

Other

Enumeration date
09/19/2016
Last updated
09/19/2016
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