Individual
LUNA AURELIA COLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
6 CUMBERLAND ST, BRUNSWICK, ME 04011-2161
(802) 595-3759
Mailing address
517 MAIN ST, SOUTH PORTLAND, ME 04106-5403
(802) 595-3759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7463
ME
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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