Individual
MRS. AMY MARIE TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC, CCS, LADC
Contact information
Practice address
229B MAIN ST, WATERVILLE, ME 04901-6119
(207) 578-2244
Mailing address
PO BOX 1626, WATERVILLE, ME 04903-1626
(207) 616-0499
(207) 616-0227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5067
ME
Other
Enumeration date
09/05/2019
Last updated
04/24/2024
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