Individual
MISS CARRIE GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
(207) 376-3808
Mailing address
PO BOX 2008, LEWISTON, ME 04241-2008
(207) 783-9141
(207) 376-3808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3842
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659559839
—
ME
Enumeration date
02/10/2008
Last updated
08/21/2019
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