Individual
MS. BRENDA W EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
161 MAIN ST, NEWPORT, ME 04953-3103
(207) 368-5577
(207) 368-5255
Mailing address
68 SPRING ST, NEWPORT, ME 04953-3135
(207) 368-5834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC77
ME
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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