Individual
MS. CYNTHIA MARIE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC, CCS
Contact information
Practice address
39 BARIBEAU DR, BRUNSWICK, ME 04011-3242
(207) 522-2073
(207) 729-1803
Mailing address
19 WESTERN AVE, TOPSHAM, ME 04086-1717
(207) 729-1803
(207) 777-8669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1491
ME
101YM0800X
Mental Health Counselor
Primary
CC1723
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048265
ANTHEM
ME
Enumeration date
05/19/2006
Last updated
04/03/2019
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