Individual
LAUREN HERDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1321 WASHINGTON AVE, PORTLAND, ME 04103-3636
(207) 274-1920
Mailing address
800 VICTORS WAY, ANN ARBOR, MI 48108-1767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1561
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC1561
LICENSED CLINICAL PROFESSIONAL COUNSELOR
FL
Enumeration date
01/06/2011
Last updated
10/02/2019
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