Individual
MINDY COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
284 MAIN ST STE 300, WILTON, ME 04294-3044
(207) 578-1412
Mailing address
PO BOX 254, WILTON, ME 04294-0254
(207) 578-1412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC25119
ME
1041C0700X
Clinical Social Worker
MC22465
ME
Other
Enumeration date
01/10/2024
Last updated
10/13/2025
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