Individual
GRACE O FOSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
63 PREBLE ST, PORTLAND, ME 04101-3014
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL6270
ME
Other
Enumeration date
08/24/2021
Last updated
04/08/2025
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