Individual
MRS. STEPHANIE DONAHUE SOUNTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6393
ME
1041C0700X
Clinical Social Worker
Primary
LC14406
ME
Other
Enumeration date
04/21/2009
Last updated
01/02/2020
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