Ellen Skoczenski, Llc | |
64 Bonnybank Ter South Portland ME 04106-6307 | |
(207) 323-8945 | |
Not Available |
Full Name | Ellen Skoczenski, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 64 Bonnybank Ter, South Portland, Maine |
Authorized Official Name and Position | Ellen Skoczenski (OWNER/LCPC) |
Authorized Official Contact | 2073238945 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellen Skoczenski, Llc 64 Bonnybank Ter South Portland ME 04106-6307 Ph: () - | Ellen Skoczenski, Llc 64 Bonnybank Ter South Portland ME 04106-6307 Ph: (207) 323-8945 |
NPI Number | 1477214534 |
---|---|
Provider Enumeration Date | 12/31/2021 |
Last Update Date | 12/31/2021 |
Certification Date | 12/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477214534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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