Provider Demographics
NPI:1790331494
Name:FRANZEN, PIER WOLF (LCPC)
Entity Type:Individual
Prefix:MR
First Name:PIER
Middle Name:WOLF
Last Name:FRANZEN
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:PORTLAND
Other - Middle Name:
Other - Last Name:HUMANISTIC THERAPY LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:615 CONGRESS ST STE 601I
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-5361
Mailing Address - Country:US
Mailing Address - Phone:203-648-8715
Mailing Address - Fax:
Practice Address - Street 1:615 CONGRESS ST STE 601I
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5361
Practice Address - Country:US
Practice Address - Phone:203-648-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-18
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL5282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEXL5282OtherLICENSE