Individual
MARIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 200-1402
Mailing address
16 WESTWOOD AVE, SCARBOROUGH, ME 04074-9524
(207) 200-1402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7260
ME
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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