Individual
MRS. SVETLA M. POPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
194 MASSACHUSETTS AVE, PORTLAND, ME 04102-2518
(207) 761-3883
Mailing address
194 MASSACHUSETTS AVE, PORTLAND, ME 04102-2518
(207) 761-3883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2022
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046941
ANTHEM
ME
01
—
209860000
ME CARE PROVIDER'S NUMBER
ME
Enumeration date
03/27/2006
Last updated
06/15/2009
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