Individual
LISA TOBEY GROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC, MHRT-CSP
Contact information
Practice address
406 STATE ST STE 2, ELLSWORTH, ME 04605-3331
(207) 412-0973
(207) 412-0806
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC6747
ME
101Y00000X
Counselor
Primary
CC4620
ME
Other
Enumeration date
01/04/2013
Last updated
02/02/2021
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