Many Moons Psychotherapy Services, Inc. | |
4 Cottage Street Freeport ME 04032 | |
(207) 504-2664 | |
(207) 865-2004 |
Full Name | Many Moons Psychotherapy Services, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 4 Cottage Street, Freeport, Maine |
Authorized Official Name and Position | Stephanie H Pontti (LICENSED CLINICAL PROFESSIONAL COUN) |
Authorized Official Contact | 2075042664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Many Moons Psychotherapy Services, Inc. 4 Cottage Street Freeport ME 04032 Ph: (207) 504-2664 | Many Moons Psychotherapy Services, Inc. 4 Cottage Street Freeport ME 04032 Ph: (207) 504-2664 |
NPI Number | 1427319359 |
---|---|
Provider Enumeration Date | 06/07/2012 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427319359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC2454 (Maine) | Secondary |
101YP2500X | Counselor - Professional | CC2454 (* (Not Available)) | Primary |
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