Rosalie Genova, Lcpc, Ccs | |
1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7 Portland ME 04103 | |
(207) 200-3789 | |
Not Available |
Full Name | Rosalie Genova, Lcpc, Ccs |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1250 Forest Ave, Portland, Maine |
Authorized Official Name and Position | Rosalie Genova (OWNER) |
Authorized Official Contact | 2072003789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rosalie Genova, Lcpc, Ccs 1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7 Portland ME 04103 Ph: () - | Rosalie Genova, Lcpc, Ccs 1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7 Portland ME 04103 Ph: (207) 200-3789 |
NPI Number | 1134837222 |
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Provider Enumeration Date | 11/08/2022 |
Last Update Date | 11/08/2022 |
Certification Date | 11/04/2022 |
Identifier | Type | State | Issuer |
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1134837222 | NPI | - | NPPES |
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