Individual
VICTORIA PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
5 PAINE RD, BOOTHBAY HARBOR, ME 04538-2409
(207) 518-1940
Mailing address
5 PAINE RD, BOOTHBAY HARBOR, ME 04538-2409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6617
ME
101YM0800X
Mental Health Counselor
Primary
CC6248
ME
Other
Enumeration date
08/03/2017
Last updated
10/27/2021
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