Individual
KATHLEEN MCCREA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
11 MEDICAL CENTER DRIVE, BRUNSWICK, ME 04011-2690
(207) 373-9417
(207) 373-9418
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4671
ME
Other
Enumeration date
12/14/2012
Last updated
05/05/2016
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