Individual
ELLEN HIRSHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3004
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431748299
—
ME
Enumeration date
08/15/2006
Last updated
07/24/2009
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