Individual
MR. SAMUEL ANDERSON ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
686 BRIGHTON AVE, PORTLAND, ME 04102-1012
(207) 831-8561
Mailing address
82 MACKWORTH ST, PORTLAND, ME 04103-4532
(207) 831-8561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2662
ME
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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