Individual
TOSH CHABOT ALSAGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C, ATR-P
Contact information
Practice address
105 MAIN ST, SOUTH PORTLAND, ME 04106
(207) 712-1181
Mailing address
37 SEWALL ROAD, SOUTH BERWICK, ME 03908
(207) 752-7762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6759
ME
221700000X
Art Therapist
22-405
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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