Individual
MARY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
222 AUBURN ST STE 201, PORTLAND, ME 04103-6004
(207) 450-8750
Mailing address
222 AUBURN ST STE 201, PORTLAND, ME 04103-6004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC6037
ME
Other
Enumeration date
08/01/2019
Last updated
01/10/2024
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