Individual
MRS. BEVERLY ANNE CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC LMFT
Contact information
Practice address
435 ROUTE 1, SUITE 2, KITTERY, ME 03904-0000
(281) 961-0807
(603) 522-3312
Mailing address
PO BOX 531, EAST WAKEFIELD, NH 03830-0531
(281) 961-0807
(603) 522-3312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10354
TX
101YP2500X
Professional Counselor
Primary
CC3532
ME
106H00000X
Marriage & Family Therapist
2414
TX
Other
Enumeration date
09/12/2005
Last updated
10/10/2012
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