Individual
KAREN LEE GROTTON PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
499 BROADWAY, BANGOR, ME 04401-3460
(207) 478-3376
Mailing address
26 NORTHERN AVE, HAMPDEN, ME 04444-1811
(207) 478-3376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4515
ME
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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