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Branch Space Therapy Services, LLC

Counselor, Professional in Randolph, ME. Organization (NPI-2).

NPI number1275432809
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1275432809
Entity type
Organization (NPI-2)
Legal business name
Branch Space Therapy Services, LLC
Organization subpart
No
Enumeration date
Nov 2, 2026
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

160 Water St Ste 1a
Randolph, ME 04346-5106

Phone 207-213-5308

Mailing address

Po Box 125
Gardiner, ME 04345-0125

Authorized official

Katherine Salonen
Clinician
2072135308

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