Individual
ELIZABETH G. WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1 ALEWIVE PARK RD, KENNEBUNK, ME 04043-6134
(207) 286-5400
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3943
ME
Other
Enumeration date
07/23/2009
Last updated
11/22/2025
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