Individual
MRS. KELLY CROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCPC, NCC
Contact information
Practice address
60 FRONT ST, SUITE 10, WATERVILLE, ME 04901-6658
(207) 944-4090
Mailing address
PO BOX 2876, WATERVILLE, ME 04903-2876
(207) 944-4090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3489
ME
Other
Enumeration date
12/26/2006
Last updated
04/20/2011
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