Individual
CHRISTINA OMVLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC7338
ME
101Y00000X
Counselor
Primary
LC7824
ME
Other
Enumeration date
06/01/2020
Last updated
12/08/2021
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