Mint Condition Counseling, LLC

NPI #1205583895 in Westbrook, Maine

Provider Information

NPI Number: 1205583895
Entity Type: Organization
Organization Name: Mint Condition Counseling, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 3, 2022
Last Updated: Dec 22, 2022

Practice Location

Address: 40 BRACKETT ST APT 3
City: Westbrook
State: Maine
ZIP Code: 04092-3383
Phone: (603) 860-4900

Authorized Official

Name: NICOLE E BLAKE, LCSW, LADC
Title: SOLE MEMBER/OWNER
Phone: (603) 860-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Clinic/Center	261Q00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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