Individual
YARA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 HIGH ST, PORTLAND, ME 04101-2831
(207) 749-9116
Mailing address
12 HEARN RD, SCARBOROUGH, ME 04074-9136
(207) 229-7031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3668
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432160199
—
ME
Enumeration date
08/17/2006
Last updated
01/19/2011
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