Individual
MS. DEBRA MARIE ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
69 PRESUMSCOT ST., PORTLAND, ME 04103
(207) 739-9768
(207) 874-8286
Mailing address
33 MAYLAND ST., PORTLAND, ME 04103
(207) 739-9768
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
INDEPENDENTCC4916
ME
101YP2500X
Professional Counselor
XL4495
ME
Other
Enumeration date
11/17/2016
Last updated
10/09/2018
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