Individual
MRS. TINA LYNNE NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPCCC
Contact information
Practice address
31 TRAILSIDE CIR, SACO, ME 04072-1663
(207) 949-0970
Mailing address
31 TRAILSIDE CIR, SACO, ME 04072-1663
(207) 949-0970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4529
ME
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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