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Stacy Marissa Farese
Mental Health Counselor in Biddeford, Maine
NPI 1154790814

Stacy Marissa Farese is a Mental Health Counselor based in Wells, ME and is specialized in Mental Health. Stacy Marissa Farese practices in Biddeford, ME. The NPI Number for Stacy Marissa Farese is 1154790814 and holds a License No. CC5472 (Maine).

The current practice location address for Stacy Marissa Farese is 314 Alfred St, Biddeford, ME and can be reached out via phone at 207-216-2637.

Location: 314 Alfred St, Biddeford, ME, 04090-0186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154790814
Provider Name
Stacy Marissa Farese
Credential
Provider Entity Type
Individual
Gender
Female
Address
314 Alfred St, Biddeford, ME, 04090-0186
Phone Number
207-216-2637
Fax Number
Provider Enumeration Date
09/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y10400 01 MA MEDICARE PTAN Y10400
institution
Provider Business Practice Location Address Details
Address
314 Alfred St
City
Biddeford
State
Maine
Zip
04005-3102
Phone Number
207-216-2637
Fax Number
person
Provider Business Mailing Address Details
Address
314 Alfred St
City
Biddeford
State
Maine
Zip
04005-3102
Phone Number
207-216-2637
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CC5472 (Maine)
Definition
Definition to come...
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