Wild North Counseling LLC

NPI #1174359012 in Bridgton, Maine

Provider Information

NPI Number
1174359012
Entity Type
Organization
Organization Name
Wild North Counseling LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 9, 2024
Last Updated
Sep 9, 2024

Practice Location

Address
41 DEPOT ST STE 204
State
Maine
ZIP Code
04009-2298
Phone
(207) 803-8735

Authorized Official

Name
TIGHE BLACKADAR, LCSW
Title
OWNER
Phone
(207) 803-8735

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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