Colburn, Mikaela Ann

Colburn, Mikaela Ann is an individual health care provider with primary practice located at 55 Foden Rd , South Portland ME 04106-1717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Colburn, Mikaela Ann can be contacted via phone (207) 951-8152.

Contact Information

Primary practice address
55 Foden Rd South Portland ME 04106-1717
Phone: (207) 951-8152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1962240093
LBN Legal business name Colburn, Mikaela Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2024
Last updated Jul 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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