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General NPI Number Information
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NPI Number | 1699630384
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Entity Type | Organization
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Legal Business Name | MAINE FAMILY COUNSELING
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 94 AUBURN ST
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City | PORTLAND
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State | ME
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Zip | 04103-2141
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Country | US
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Telephone | 207-613-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 94 AUBURN ST
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City | PORTLAND
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State | ME
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Zip | 04103-2141
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Country | US
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Telephone | 207-613-4473
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | CAMILLE THAYER
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Credential | LCPC-C, M.S.
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Telephone | 207-213-0679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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