Individual
SEAN J STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRT-CSP
Contact information
Practice address
1 STACKPOLE DR, MACHIAS, ME 04654-7000
(207) 255-0996
(207) 255-8748
Mailing address
1 STACKPOLE DR, MACHIAS, ME 04654-7000
(207) 255-0996
(207) 255-8748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
06/14/2012
Last updated
06/14/2012
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