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Individual

REBECCA L. HANSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
15 MID COAST DR, BELFAST, ME 04915-6079
(207) 338-2295
(207) 338-2388
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4610
ME
101YM0800X
Mental Health Counselor
Primary
CC4294
ME
101YP2500X
Professional Counselor
XL3869
ME

Other

Enumeration date
09/15/2011
Last updated
07/13/2016
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