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Individual

CYNTHIA GRACE LUMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LCPC, LMHC, LMF

Contact information

Practice address
40 DION AVE, KITTERY, ME 03904-1119
(207) 439-6600
Mailing address
40 DION AVE, KITTERY, ME 03904-1119
(207) 439-6600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1621
MA
101YP2500X
Professional Counselor
CC2458
ME
1041C0700X
Clinical Social Worker
Primary
206039
MA
106H00000X
Marriage & Family Therapist
617
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1312294
MA
Enumeration date
03/28/2007
Last updated
03/27/2008
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