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NPI Code Detail

MEDICARE: KMR COUNSELING, INC

MEDICARE: KMR COUNSELING, 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
11041C0700XClinical Social WorkerLC10066ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200620OTHERMEANTHEM INS.
2132060101OTHERMEMAINE CARE
39738122OTHERMEAETNA INS.

General Provider Information

NPI Number : 1861664922
Entity Type Code : Organization
Provider Name (Legal Business Name) : KMR COUNSELING, INC
Provider Business Mailing Address
First Line : 1008 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5721
Country : US
Telephone Number : 207-784-1480
Fax Number : 207-753-0323
Provider Business Practice Location Address
First Line : 1008 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5721
Country : US
Telephone Number : 207-784-1480
Fax Number : 207-753-0323
Authorized Official
Title or Position : PRESIDENT OF CORPORATION
Name : MRS. MURIELLE M. GUAY
Credential : LCSW
Telephone Number : 207-784-1480
Provider Enumeration Date : 03/29/2008
Last Update Date : 07/09/2008

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1881892180 — MS. SHARON BELL LCSW
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1700197720 — SHARON BELL & ASSOCIATES COUNSELING INC
Practice Location Address:
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