Individual
PHYLLIS FITZSIMMONS-LUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Contact information
Practice address
22 FREE ST STE 402, PORTLAND, ME 04101-3900
(207) 619-3356
Mailing address
22 FREE ST STE 402, PORTLAND, ME 04101-3900
(207) 619-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4935
MA
101YP2500X
Professional Counselor
Primary
CC6554
ME
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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