Individual
KINDRA THRELKELD BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 HIGH ST, SUITE 2C, PORTLAND, ME 04101-2831
(207) 251-5359
Mailing address
200 HIGH ST, SUITE 2C, PORTLAND, ME 04101-2831
(207) 251-5359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3547
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432160299
—
ME
Enumeration date
08/17/2006
Last updated
10/25/2011
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