Individual
MR. R. ANDREW DERSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
236A PORTLAND RD, BRIDGTON, ME 04009
(207) 647-2400
(207) 647-2400
Mailing address
PO BOX 731, BRIDGTON, ME 04009
(207) 647-2400
(207) 647-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
11/04/2008
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