Individual
RICHARD T. CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
518 US ROUTE 1 UNIT 5, KITTERY, ME 03904-2500
(207) 641-5345
(207) 451-9791
Mailing address
P.O. BOX 257, WELLS, ME 04090
(207) 641-5345
(207) 451-9791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4388
ME
Other
Enumeration date
09/25/2012
Last updated
11/02/2018
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