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General NPI Number Information
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NPI Number | 1811226087
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Entity Type | Organization
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Legal Business Name | MAITRI PSYCHOTHERAPY ASSOCIATES LLC
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 433 US ROUTE 1 STE 204
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City | YORK
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State | ME
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Zip | 03909-1647
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Country | US
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Telephone | 207-363-8300
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Fax | 207-218-0316
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Provider Business Mailing Address
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Address Line | 433 US ROUTE 1 COTTAGE PLACE, SUITE 204
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City | YORK
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State | ME
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Zip | 03909-1659
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Country | US
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Telephone | 207-363-8300
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Fax | 207-363-8301
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Authorized Official
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Title or Position | CO-OWNER/PROVIDER
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Name | DAWN LESNESKI
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Credential | MA, LCPC
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Telephone | 207-363-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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