Individual
ROY E SIEGFRIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
9 HILLCREST AVE, RANDOLPH, ME 04346-5131
(207) 582-4218
(207) 582-4360
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC686
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098312
ANTHEM
ME
Enumeration date
10/10/2007
Last updated
10/10/2007
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