Organization
CLINICAL CONSULTATION & COUNSELING, P.A.
Active
Other names
Clinical Consultation & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ARTHUR GOOLSBY LCSW (PRESIDENT)
(207) 564-0026
Entity
Organization
Contact information
Practice address
26 RIVER ST, 2ND FLOOR, DOVER FOXCROFT, ME 04426-1321
(207) 564-0026
(877) 822-7919
Mailing address
PO BOX 370, DOVER FOXCROFT, ME 04426-0370
(207) 564-0026
(877) 822-7919
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431819099
—
ME
Enumeration date
04/30/2010
Last updated
04/30/2010
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