Ouellette, Tina

Ouellette, Tina is an individual health care provider with primary practice located at 88 Fox St , Madawaska ME 04756-1352. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ouellette, Tina can be contacted via phone (207) 728-6341.

Contact Information

Primary practice address
88 Fox St Madawaska ME 04756-1352
Phone: (207) 728-6341
Fax: (207) 728-7762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063891810
LBN Legal business name Ouellette, Tina
Credentials MHRT-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - about 9 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063891810 NPPES
Maine MEDICAID 1063891810

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