Individual
AMY L. TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-4319
Mailing address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-4319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC4048
ME
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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