Individual
ALYSSA J HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 INDIA ST, PORTLAND, ME 04101-4230
(207) 939-3219
Mailing address
20 SHERIDAN ST APT 3, PORTLAND, ME 04101-4380
(207) 939-3219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3917
ME
Other
Enumeration date
09/21/2010
Last updated
08/05/2012
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