Individual
ELLEN D RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
257 AUBURN ST, PORTLAND, ME 04103-2137
(207) 712-0498
Mailing address
257 AUBURN ST, PORTLAND, ME 04103-2137
(207) 712-0498
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF496
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018261
ANTHEM
ME
Enumeration date
10/29/2006
Last updated
07/08/2007
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