person
Susannah Tully, MED
Professional Counselor in Portland, Maine
NPI 1558754200

Susannah Tully is a Professional Counselor based in Portland, ME and is specialized in Professional. Susannah Tully practices in Portland, ME and has the professional credentials of MED. The NPI Number for Susannah Tully is 1558754200 and holds a License No. CC4200 (Maine).

The current practice location address for Susannah Tully is 470 Forest Avenue, Portland, ME and can be reached out via phone at 207-854-1030.

Location: 470 Forest Avenue, Portland, ME, 04101
person
Provider Profile Details
NPI Number
1558754200
Provider Name
Susannah Tully
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
470 Forest Avenue, Portland, ME, 04101
Phone Number
207-854-1030
Fax Number
Provider Enumeration Date
03/05/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CC4200 01 ME MAINECARE
institution
Provider Business Practice Location Address Details
Address
470 Forest Avenue
City
State
Zip
04101
Phone Number
207-854-1030
Fax Number
person
Provider Business Mailing Address Details
Address
470 Forest Avenue
City
State
Zip
04101
Phone Number
207-854-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC4200 (Maine)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Portland, Maine: