Individual
HOLLY HELENA CARLETTI ALIVIZATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
43 COACH LANTERN LN W, SCARBOROUGH, ME 04074-8510
(207) 205-8601
Mailing address
43 COACH LANTERN LN W, SCARBOROUGH, ME 04074-8510
(207) 205-8601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4464
ME
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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