Individual
MR. DAVID C BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
445 MAIN ST, NORWAY, ME 04268-5920
(207) 730-1723
Mailing address
PO BOX 526, NORWAY, ME 04268-0526
(207) 730-1723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2197
ME
Other
Enumeration date
09/17/2007
Last updated
11/08/2016
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