Organization
COLIN ROUTH, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN ROUTH LCSW (CLINICIAN)
(207) 805-4424
Entity
Organization
Contact information
Practice address
399 WATER ST, AUGUSTA, ME 04330-4691
(207) 805-4424
Mailing address
399 WATER ST STE 3, AUGUSTA, ME 04330-4691
(207) 805-4424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
06/11/2024
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