Individual
MR. THEODORE EMERSON CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
17 SOUTH ST, PORTLAND, ME 04101-3914
(207) 773-6772
(207) 772-8400
Mailing address
17 SOUTH ST, PORTLAND, ME 04101-3914
(207) 773-6772
(207) 772-8400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF529
ME
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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