Individual
DR. REID DERITO STEVENS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 SAINT JOHN ST, SUITE 320, PORTLAND, ME 04102-3041
(207) 775-6598
Mailing address
222 SAINT JOHN ST, SUITE 320, PORTLAND, ME 04102-3041
(207) 775-6598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC144
ME
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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