person
Mary T. White, MED,LPC
Mental Health Counselor in Ellsworth, Maine
NPI 1669563060

Mary T. White is a Mental Health Counselor based in Ellsworth, ME and is specialized in Mental Health. Mary T. White practices in Ellsworth, ME and has the professional credentials of MED,LPC. The NPI Number for Mary T. White is 1669563060 and holds a License No. PC1124 (Maine).

The current practice location address for Mary T. White is 198 Main Street, Ellsworth, ME and can be reached out via phone at 207-667-1153 and via fax at 207-667-1153. You can also correspond with Mary T. White through the mailing address at 198 MAIN STREET, ELLSWORTH, ME - 04605-1941 (mailing address contact number: 207-667-1153).

Location: 198 Main Street, Ellsworth, ME, 04605-1941
person
Provider Profile Details
NPI Number
1669563060
Provider Name
Mary T. White
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
198 Main Street, Ellsworth, ME, 04605-1941
Phone Number
207-667-1153
Fax Number
207-667-1153
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 01 ME SSN - SOLE PROPRIETORSHIP
7944152 01 ME AETNA PIN NUMBER
348180 01 ME TRICARE PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
198 Main Street
City
State
Zip
04605-1941
Phone Number
207-667-1153
Fax Number
207-667-1153
person
Provider Business Mailing Address Details
Address
198 Main Street
City
State
Zip
04605-1941
Phone Number
207-667-1153
Fax Number
207-667-1153
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC1124 (Maine)
Definition
Definition to come...
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