Individual
HECTOR RAFAEL CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3373
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432149999
—
ME
Enumeration date
08/12/2006
Last updated
03/17/2009
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