Individual
DORI HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
53 MUSSEY ST, SOUTH PORTLAND, ME 04106-2016
(207) 415-9153
Mailing address
53 MUSSEY ST, SOUTH PORTLAND, ME 04106-2016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3700
ME
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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