R Melvin Counseling LLC
Social Worker, Clinical in Portland, ME. Organization (NPI-2).
NPI number1265972749
StatusActive
Last updated in NPPESMar 2, 2017
Details
- NPI
- 1265972749
- Entity type
- Organization (NPI-2)
- Legal business name
- R Melvin Counseling LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2017
- Last updated
- Mar 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC4787 | ME | Yes |
Practice location
251 Woodford StPortland, ME 04103-5617
Phone 207-773-2828 · Fax 207-761-8150
Mailing address
251 Woodford StPortland, ME 04103-5617
Phone 207-773-2828 · Fax 207-761-8150
Authorized official
Randall R Melvin
Member
2077732828
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