Individual
KRISTEN SMITH WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROCKPORT LEDGES, ROCKPORT, ME 04856-4425
(207) 236-8988
Mailing address
PO BOX 989, ROCKPORT, ME 04856-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3457
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432373299
—
ME
Enumeration date
11/17/2006
Last updated
03/23/2015
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