Individual
BRITTA BAGHESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 GANNETT DR, SOUTH PORTLAND, ME 04106-6940
(207) 210-3746
Mailing address
280 GANNETT DR, SOUTH PORTLAND, ME 04106-6940
(207) 210-3746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4194
ME
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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