Organization Name: | CONANT ASSOCIATES LLC |
NPI Number: | 1538455431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD H CONANT (DIRECTOR) |
Mailing Address: | 435 Rt 1 Suite 2 Kittery |
State: | ME US |
Postal Code: | 03904 |
Phone Number: | 2074754156 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC3531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |