Individual
MS. SARAH MALKA MCVICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
10 ASHLEY LN, PORTLAND, ME 04103-2787
(603) 387-1386
Mailing address
10 ASHLEY LN, PORTLAND, ME 04103-2787
(603) 387-1386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8099
ME
101YM0800X
Mental Health Counselor
CC7460
ME
101YP2500X
Professional Counselor
Primary
CC7460
ME
Other
Enumeration date
10/14/2020
Last updated
09/05/2024
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