Individual
DR. CAROL LEET KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. MIN., L.C.P.C.
Contact information
Practice address
38 PLEASANT ST, PORTLAND, ME 04101-3964
(207) 761-2005
(207) 761-2005
Mailing address
38 PLEASANT ST, PORTLAND, ME 04101-3964
(207) 761-2005
(207) 761-2005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC23
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26946
ANTHEM BLUE CROSS
ME
Enumeration date
11/03/2007
Last updated
11/03/2007
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