Individual
MRS. ELIZABETH K STOOTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
110 MAIN ST, SACO, ME 04072-3509
(207) 200-7105
Mailing address
46 OAK RIDGE DR, STANDISH, ME 04084-6048
(207) 671-1285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6998
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012819671994
—
ME
Enumeration date
02/28/2023
Last updated
02/28/2023
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