Individual
MS. JANICE L KIENZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
884 BROADWAY STE 13, SOUTH PORTLAND, ME 04106-4371
(207) 747-8242
Mailing address
884 BROADWAY STE 13, SOUTH PORTLAND, ME 04106-4371
(207) 747-8242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4433
ME
101YP2500X
Professional Counselor
PC002856
PA
Other
Enumeration date
07/06/2006
Last updated
07/24/2015
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