Individual
CHRISTINE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
22 HOWARD ST, PORTLAND, ME 04101-5323
(207) 415-9914
Mailing address
173 FOREST AVENUE, POST OFFICE BOX 1994, PORTLAND, ME 04101-1994
(207) 415-9914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5203
ME
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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