Individual
MARYLENA CHAISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Mailing address
150 CONGRESS ST, RUMFORD, ME 04276-2035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC4056
ME
Other
Enumeration date
08/18/2010
Last updated
08/20/2013
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