Katherine V Page, LCSW

Individual provider Active NPI Mental Health Counselor · Lincoln, ME

NPI 1023077286 · NPPES record last updated Dec 4, 2013

Key facts

NPI
1023077286
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
L1906 (ME)
Practice address
175 West Broadway
Lincoln, ME 04457-0000
Phone
(207) 794-6700
Fax
(207) 794-6777
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
L1906MEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L1906 ME Yes

Addresses

Primary practice location

175 West Broadway
Lincoln, ME 04457-0000

Mailing address

PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700

Other identifiers

IdentifierTypeStateIssuer
263840099MedicaidME
201837OtherMENGS

Other providers in Lincoln, ME

All providers in Lincoln, ME · Mental Health Counselor in Maine

Sources for this page

Verify at the official NPI Registry.