Individual
TONYA L O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
86 TANDBERG TRL, WINDHAM, ME 04062-5841
(207) 893-0386
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3853
ME
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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