Individual
CAITLIN HOLLAND GENTILINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3473
(207) 822-2598
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3473
(207) 822-2598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC8823
ME
1041C0700X
Clinical Social Worker
Primary
LC8823
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315180099
—
ME
Enumeration date
10/04/2006
Last updated
03/05/2010
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