Eileen Farrar
Counselor, Mental Health in Portland, ME. Individual provider (NPI-1).
NPI number1124580220
StatusActive
Last updated in NPPESApr 5, 2019
Details
- NPI
- 1124580220
- Entity type
- Individual (NPI-1)
- Name
- Eileen Farrar
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2019
- Last updated
- Apr 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | XL5212 | ME | Yes |
Practice location
125 Presumpscot St Unit 9Portland, ME 04103-5225
Phone 207-871-1000
Mailing address
10 Susan LnFalmouth, ME 04105-2528
Phone 207-797-7286 · Fax 207-878-2431
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