Individual
CHRISTINE STULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
Mailing address
117 MARY JANE RD, BUXTON, ME 04093-3136
(207) 318-9864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3261
ME
Other
Enumeration date
07/16/2009
Last updated
10/08/2010
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