Individual
STACIA FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
465 CONGRESS ST STE 700, PORTLAND, ME 04101-3539
(207) 329-8670
Mailing address
192 EGYPT RD, RAYMOND, ME 04071-6390
(207) 329-8670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC904
MP
1041C0700X
Clinical Social Worker
LC5514
ME
Other
Enumeration date
10/27/2006
Last updated
09/11/2025
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