Individual
MS. REBECCA S KITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9465
ME
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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