Individual
MRS. KELLY ELIZABETH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
415 WATER ST, ELLSWORTH, ME 04605-2116
(207) 667-5357
(207) 667-0174
Mailing address
92 TROUT BROOK RD, MARIAVILLE, ME 04605-7160
(207) 537-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3131
ME
Other
Enumeration date
05/15/2007
Last updated
07/09/2007
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