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Organization

THE CANVAS OF LIFE COUNSELING LLC

Active
Other names
The Canvas of Life Counseling LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY R MANSON LCPC, CADC, CGP (OWNER, PSYCHOTHERAPIST)
(207) 241-9332
Entity
Organization

Contact information

Practice address
179 LISBON ST STE 201, LEWISTON, ME 04240-7248
(207) 241-9332
(207) 782-9011
Mailing address
179 LISBON ST STE 201, LEWISTON, ME 04240-7248
(207) 241-9332
(207) 782-9011

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/28/2023
Last updated
12/05/2024
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