Organization
GENEVIEVE SPEARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE COSTELLO-SPEARS (OWNER)
(207) 544-7644
Entity
Organization
Contact information
Practice address
443 WESTERN AVE STE 1039, SOUTH PORTLAND, ME 04106-1726
(207) 544-7644
Mailing address
443 WESTERN AVE STE 1039, SOUTH PORTLAND, ME 04106-1726
(207) 544-7644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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