Individual
KATRINA ST LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MAIN ST STE 301, BANGOR, ME 04401-6359
(207) 631-2201
(207) 631-2203
Mailing address
116 LARKIN ST APT 1, BANGOR, ME 04401-6216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC6584
ME
1041C0700X
Clinical Social Worker
Primary
MC18090
ME
Other
Enumeration date
10/02/2018
Last updated
05/27/2020
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