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General NPI Number Information
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NPI Number | 1396662797
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Entity Type | Organization
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Legal Business Name | REBECCA SAMMON THERAPY, LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 500 FOREST AVE STE 2
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City | PORTLAND
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State | ME
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Zip | 04101-1520
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Country | US
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Telephone | 207-272-1798
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Fax |
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Provider Business Mailing Address
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Address Line | 164 APPLECREST DR
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City | YARMOUTH
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State | ME
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Zip | 04096-8313
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Country | US
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Telephone | 207-272-1798
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | REBECCA SAMMON
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Credential | LCPC-C
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Telephone | 207-692-7168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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