Individual
REBECCA CONNERS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
69 PRESUMPSCOT ST, PORTLAND, ME 04103-5201
(207) 245-8479
Mailing address
29 FOREST ST APT 1, PORTLAND, ME 04102-2924
(207) 245-8479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC-4768
ME
Other
Enumeration date
03/18/2016
Last updated
11/07/2016
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