person
Keith Riley
Mental Health Counselor in Portland, Maine
NPI 1346625019

Keith Riley is a Mental Health Counselor based in Portland, ME and is specialized in Mental Health. Keith Riley practices in Portland, ME. The NPI Number for Keith Riley is 1346625019 and holds a License No. LC14061 (Maine).

The current practice location address for Keith Riley is 30 Danforth St Ste 311, Portland, ME and can be reached out via phone at 207-774-6877 and via fax at 207-879-0761.

Location: 30 Danforth St Ste 311, Portland, ME, 04101-4574
person
Provider Profile Details
NPI Number
1346625019
Provider Name
Keith Riley
Credential
Provider Entity Type
Individual
Gender
Male
Address
30 Danforth St Ste 311, Portland, ME, 04101-4574
Phone Number
207-774-6877
Fax Number
207-879-0761
Provider Enumeration Date
07/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992935662 05 ME
institution
Provider Business Practice Location Address Details
Address
30 Danforth St Ste 311
City
State
Zip
04101-4574
Phone Number
207-774-6877
Fax Number
207-879-0761
person
Provider Business Mailing Address Details
Address
30 Danforth St Ste 311
City
State
Zip
04101-4574
Phone Number
207-774-6877
Fax Number
207-879-0761
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC14061 (Maine)
Definition
Definition to come...
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