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Individual

KATHERINE F. MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2 SPRINGBROOK DR, BIDDEFORD, ME 04005-9443
(207) 282-1500
(207) 282-2581
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5567
ME
101YP2500X
Professional Counselor
Primary
CC2136
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
246830099
ME
Enumeration date
07/28/2006
Last updated
04/16/2015
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