Individual
THERESA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC C
Contact information
Practice address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 353-8118
(207) 407-1209
Mailing address
22 FARWELL ST, LISBON, ME 04250-6824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7399
ME
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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