Individual
REBECCA REID BRAINERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
16 VERRILL RD, GRAY, ME 04039-9596
(207) 415-3631
Mailing address
16 VERRILL RD, GRAY, ME 04039-9596
(207) 415-3631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C4525
ME
101YP2500X
Professional Counselor
Primary
CC4525
ME
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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