| Jon St. Peter Lcsw | |
|
21 Elm St Ste 302 Camden ME 04843-1902 | |
| (207) 491-0502 | |
| Not Available |
| Full Name | Jon St. Peter Lcsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21 Elm St Ste 302, Camden, Maine |
| Authorized Official Name and Position | Jon M St. Peter (OWNER) |
| Authorized Official Contact | 2074910502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon St. Peter Lcsw Po Box 513 Camden ME 04843-0513 Ph: (207) 491-0502 | Jon St. Peter Lcsw 21 Elm St Ste 302 Camden ME 04843-1902 Ph: (207) 491-0502 |
| NPI Number | 1154978468 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154978468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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