Individual
MS. KELLY KATHERINE BUMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6 CUMBERLAND ST, BRUNSWICK, ME 04011-1904
(207) 798-9281
Mailing address
6 CUMBERLAND ST, BRUNSWICK, ME 04011-1904
(207) 798-9281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC5235
ME
Other
Enumeration date
03/25/2019
Last updated
08/08/2019
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