Individual
KATE LYNN MATTHEWS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
7 OAK HILL TER STE 211, SCARBOROUGH, ME 04074-8996
(207) 491-9301
Mailing address
12 GENTLE BREEZE, WINDHAM, ME 04062-7004
(207) 491-9301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5100
ME
Other
Enumeration date
08/29/2018
Last updated
05/06/2020
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