Individual
LISA ELLEN HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
98 MAINE ST, BRUNSWICK, ME 04011-2031
(207) 837-8691
(207) 833-2445
Mailing address
PO BOX 11, BRUNSWICK, ME 04011-0011
(207) 837-8691
(207) 833-2445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1295
ME
Other
Enumeration date
05/25/2007
Last updated
11/10/2008
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