Individual
MS. TERRI A BELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
31 GORHAM RD., BOX 265, SCARBOROUGH, ME 04070-4007
(207) 415-0626
Mailing address
31 GORHAM RD, BOX 265, SCARBOROUGH, ME 04070-4000
(207) 415-0626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1851
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431984599
—
ME
Enumeration date
11/27/2006
Last updated
06/11/2014
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