Individual
LAURA TENNENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLCPC
Contact information
Practice address
187 SUMMIT ST, PORTLAND, ME 04103-2925
(207) 272-6476
Mailing address
187 SUMMIT ST, PORTLAND, ME 04103-2925
(207) 272-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7915
ME
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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