Provider Demographics
NPI:1316184773
Name:FRENCH, KORYNNE E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KORYNNE
Middle Name:E
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 RIVERSIDE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1070
Mailing Address - Country:US
Mailing Address - Phone:207-871-1200
Mailing Address - Fax:207-871-1235
Practice Address - Street 1:2153 HALLOWELL RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:ME
Practice Address - Zip Code:04350-3831
Practice Address - Country:US
Practice Address - Phone:207-807-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELS9954104100000X
MELC167041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker