Individual
BODHI J. SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 872-7548
Mailing address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 872-7548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3334
ME
Other
Enumeration date
11/08/2006
Last updated
04/16/2008
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