Individual
TESLA NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
32 COLLEGE AVE, WATERVILLE, ME 04901-6100
(207) 680-2065
Mailing address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7767
ME
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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