person
David Alan Patch JR., LCPC
Mental Health Counselor in Portland, Maine
NPI 1821258625

David Alan Patch JR. is a Mental Health Counselor based in Portland, ME and is specialized in Mental Health. David Alan Patch JR. practices in Portland, ME and has the professional credentials of LCPC. The NPI Number for David Alan Patch JR. is 1821258625 and holds a License No. CC2457 (Maine).

The current practice location address for David Alan Patch JR. is 222 Saint John St Ste 208, Portland, ME and can be reached out via phone at 207-891-8618.

Location: 222 Saint John St Ste 208, Portland, ME, 04102-3063
person
Provider Profile Details
NPI Number
1821258625
Provider Name
David Alan Patch JR.
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
222 Saint John St Ste 208, Portland, ME, 04102-3063
Phone Number
207-891-8618
Fax Number
Provider Enumeration Date
06/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11646348 01 ME CAQH
institution
Provider Business Practice Location Address Details
Address
222 Saint John St Ste 208
City
State
Zip
04102-3063
Phone Number
207-891-8618
Fax Number
person
Provider Business Mailing Address Details
Address
222 Saint John St Ste 208
City
State
Zip
04102-3063
Phone Number
207-891-8618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC2457 (Maine)
Definition
Definition to come...
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