Organization
CENTER FOR CREATIVE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LUNDEN LCSW, LADC, CCS (EXECUTIVE DIRECTOR)
(207) 699-4325
Entity
Organization
Contact information
Practice address
142 HIGH ST, SUITE 313, PORTLAND, ME 04101-2851
(207) 699-4325
(207) 699-4325
Mailing address
PO BOX 5051, PORTLAND, ME 04101-0751
(207) 699-4325
(207) 699-4325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
613749
ME
Other
Enumeration date
02/18/2011
Last updated
04/29/2011
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