Nantucket Counseling
Marriage & Family Therapist in Springvale, ME. Organization (NPI-2).
NPI number1164047189
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1164047189
- Entity type
- Organization (NPI-2)
- Legal business name
- Nantucket Counseling
- Organization subpart
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
469 Main St Ste 101Springvale, ME 04083-1870
Phone 207-651-1287 · Fax 207-636-8010
Mailing address
469 Main St Ste 101Springvale, ME 04083-1870
Phone 207-651-1287 · Fax 207-636-8010
Authorized official
Jonathan Berube
Ceo
2076511287
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