Individual
REED ANNE KELLY FAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
14 GRIFFIN RD, FREEPORT, ME 04032-6800
(323) 854-0188
Mailing address
14 GRIFFIN RD, FREEPORT, ME 04032-6800
(323) 854-0188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4500
ME
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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