Individual
MISS MARIA ESMERALDA GRUNGLASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
16 WHITEHEAD ST, PORTLAND, ME 04108-1316
(207) 205-5819
(207) 205-5820
Mailing address
95 FALMOUTH RD, FALMOUTH, ME 04105-1841
(207) 205-5819
(207) 205-5820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC8891
FL
101YP2500X
Professional Counselor
Primary
LCPC# CC4520
ME
Other
Enumeration date
03/10/2008
Last updated
02/23/2017
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