Individual
KRISTINE D. GILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3530
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432622999
—
ME
Enumeration date
04/22/2009
Last updated
04/14/2017
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