| True North Psychotherapy, Llc | |
|
1321 Washington Ave Ste 304 Portland ME 04103-3675 | |
| (603) 361-5174 | |
| (207) 221-9986 |
| Full Name | True North Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1321 Washington Ave Ste 304, Portland, Maine |
| Authorized Official Name and Position | Samuel Harvell (OWNER/PROVIDER) |
| Authorized Official Contact | 6033615174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Psychotherapy, Llc 1321 Washington Ave Ste 304 Portland ME 04103-3675 Ph: (603) 361-5174 | True North Psychotherapy, Llc 1321 Washington Ave Ste 304 Portland ME 04103-3675 Ph: (603) 361-5174 |
| NPI Number | 1417452079 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417452079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC14498 (Maine) | Primary |
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