Individual
KEITH A WENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 MAIN ST, AUBURN, ME 04210-5811
(207) 364-7981
(877) 789-6905
Mailing address
5 DANA AVE, AUBURN, ME 04210-5834
(207) 240-6972
(877) 789-6905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC4458
ME
Other
Enumeration date
05/03/2011
Last updated
05/10/2017
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