Individual
KRISTEN M CHAREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
300 PORTLAND RD STE 1, BRIDGTON, ME 04009-4227
(207) 890-2679
(207) 803-8543
Mailing address
13 ELA LN, FRYEBURG, ME 04037-1150
(603) 986-3585
(207) 830-8543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC19197
LMSW-CC
ME
Enumeration date
09/29/2020
Last updated
09/30/2020
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