Individual
MS. MARY-ATALA LESSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 ST. JOHN ST., SUITE 16, PORTLAND, ME 04102
(207) 873-2136
(207) 872-4522
Mailing address
147 ALLEN AVE., #20, PORTLAND, ME 04103
(207) 749-3829
(207) 872-4522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3751
ME
Other
Enumeration date
08/21/2007
Last updated
07/25/2018
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