Individual
YEZMIN NAME ALMANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
59 PINE ST, PORTLAND, ME 04102-4038
(207) 807-3230
Mailing address
59 PINE ST, PORTLAND, ME 04102-4038
(207) 807-3230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6096
ME
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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