Organization
KMR COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MURIELLE M. GUAY LCSW (PRESIDENT OF CORPORATION)
(207) 784-1480
Entity
Organization
Contact information
Practice address
1008 LISBON ST, LEWISTON, ME 04240-5721
(207) 784-1480
(207) 753-0323
Mailing address
1008 LISBON ST, LEWISTON, ME 04240-5721
(207) 784-1480
(207) 753-0323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10066
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132060101
MAINE CARE
ME
01
—
200620
ANTHEM INS.
ME
01
—
9738122
AETNA INS.
ME
Enumeration date
03/29/2008
Last updated
07/09/2008
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