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Individual

MONICA FISCHBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
333 LINCOLN ST STE 220, SACO, ME 04072-3113
(207) 415-5094
(207) 282-8030
Mailing address
44 YARMOUTH RD, GRAY, ME 04039-9601
(207) 415-5094
(207) 282-8030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC2296
ME
101YP2500X
Professional Counselor
Primary
CC2296
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292910099
ME
Enumeration date
10/06/2006
Last updated
04/17/2020
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