Individual
LAURIE A SPATARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LADC
Contact information
Practice address
855 CHURCH HILL RD, AUGUSTA, ME 04330-8218
(561) 713-8511
Mailing address
855 CHURCH HILL RD, AUGUSTA, ME 04330-8218
(561) 713-8511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC7124
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7124
ME
101YM0800X
Mental Health Counselor
20966
FL
Other
Enumeration date
09/30/2020
Last updated
10/04/2022
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