Individual
VERONICA INGRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSWLADC, CCS
Contact information
Practice address
22 HAWTHORNE ST # 2, PORTLAND, ME 04103-5410
(781) 296-9309
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 560-5758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7015
ME
101YM0800X
Mental Health Counselor
123730
MA
101YM0800X
Mental Health Counselor
Primary
LC19444
ME
Other
Enumeration date
09/17/2018
Last updated
10/13/2021
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