Individual
MS. DANIELLE SHAW CIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
160 PREBLE ST, PORTLAND, ME 04101-2426
(207) 347-0940
Mailing address
160 PREBLE ST, PORTLAND, ME 04101-2426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5663
ME
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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