Individual
CATHLEEN M. DIMARZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1966
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098484
ANTHEM
—
01
—
11624082
CAQH
—
05
—
262870099
—
ME
Enumeration date
12/28/2006
Last updated
08/19/2024
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