MEDICARE: MORIN ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CC900	ME

General Provider Information

NPI Number	:	1548464670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORIN ENTERPRISES INC

Provider Business Mailing Address
First Line	:	21 N CHESTNUT ST
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-5012
Country	:	US
Telephone Number	:	207-621-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 N CHESTNUT ST
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-5012
Country	:	US
Telephone Number	:	207-621-8066
Fax Number	:

Authorized Official
Title or Position	:	OWNER LICENSED CLINICAL PROFESSIONA
Name	:	MS. VALERIE MORIN
Credential	:
Telephone Number	:	207-621-8066

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	03/16/2010

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Directions to “MORIN ENTERPRISES INC ” Practice Location

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