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Individual

HEIDI J MCDONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1288 ROOSEVELT TRL STE 5B, RAYMOND, ME 04071-6660
(207) 749-3275
Mailing address
PO BOX 1301, RAYMOND, ME 04071-1301
(207) 518-7244

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4854
ME
101YP2500X
Professional Counselor
XL3990
ME

Other

Enumeration date
07/18/2013
Last updated
06/02/2021
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