Individual
REBECCA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
963 BROADWAY, SOUTH PORTLAND, ME 04106-4206
(207) 613-2470
Mailing address
963 BROADWAY, SOUTH PORTLAND, ME 04106-4206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL8165
ME
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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