Individual
AUSTIN PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 WASHINGTON AVE STE 2F, PORTLAND, ME 04101-2665
(207) 216-0643
Mailing address
75 WASHINGTON AVE STE 2F, PORTLAND, ME 04101-2665
(207) 216-0643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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