Individual
CELIA MANTOVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
77 BLANCHARD RD, CUMBERLAND, ME 04021-3500
(207) 331-7695
(207) 331-7695
Mailing address
77 BLANCHARD RD, CUMBERLAND, ME 04021-3500
(207) 331-7695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5637
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14919161
CAHQ
—
Enumeration date
07/10/2020
Last updated
01/08/2024
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