Organization
LEAF & ROOT PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA RAVEN (OWNER)
(207) 766-6538
Entity
Organization
Contact information
Practice address
66 N HIGH ST APT A, BRIDGTON, ME 04009-1125
(207) 766-6538
Mailing address
66 N HIGH ST APT A, BRIDGTON, ME 04009-1125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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