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Individual

MS. CHRISTINA FAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC, CCS

Contact information

Practice address
68 BISHOP ST STE 3, PORTLAND, ME 04103-2681
(207) 281-2681
Mailing address
140 SAND BAR RD, WINDHAM, ME 04062-5540
(207) 281-2681

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS4684
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4524
ME
1041C0700X
Clinical Social Worker
Primary
LC11294
ME

Other

Enumeration date
07/12/2010
Last updated
11/14/2023
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