Individual
CYNTHIA E BREARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
442 MOOSEHEAD TRL, NEWPORT, ME 04953-4004
(207) 368-2072
(207) 368-5290
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3071
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098304
ANTHEM LEGACY NUMBER
ME
Enumeration date
03/26/2007
Last updated
10/17/2007
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