Organization
STONYCREEK PSYCHOTHERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WATTERS (OWNER)
(207) 956-5977
Entity
Organization
Contact information
Practice address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 400-5296
Mailing address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 956-5977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/11/2020
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