Individual
CYNTHIA AMBROGNE-OTOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1044
Mailing address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC652
ME
101YM0800X
Mental Health Counselor
CC463
ME
1041C0700X
Clinical Social Worker
Primary
CC463
ME
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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