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Organization

BELFAST COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICKA TIDMORE TRAVERS LCPC-C, LADC, CCS (MANAGING EMPLOYEE)
(207) 561-7269
Entity
Organization

Contact information

Practice address
26 SPRING ST, BELFAST, ME 04915-6817
(207) 561-7269
Mailing address
26 SPRING ST, BELFAST, ME 04915-6817
(207) 561-7269

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
07/18/2024
Last updated
07/18/2024
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