Individual
MS. MARYKATE JANET KONTIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
23 ALMAR ST, FARMINGDALE, ME 04344-1638
(207) 469-8688
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3647
ME
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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