Individual
AMANDA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
595 FOREST AVE, PORTLAND, ME 04101-1527
(207) 492-5296
Mailing address
595 FOREST AVE, APT 3, PORTLAND, ME 04101-1527
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
ME
101YM0800X
Mental Health Counselor
Primary
XL8189
ME
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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