Individual
MOLLIE CAITLIN GUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4807
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC60864092
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8055
ME
1041C0700X
Clinical Social Worker
Primary
LC20774
ME
1041C0700X
Clinical Social Worker
LW61196449
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2017
Last updated
04/05/2023
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