Individual
MS. EMILY R. PINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
126 REVERE ST, PORTLAND, ME 04103-3047
(207) 332-1531
Mailing address
126 REVERE ST, PORTLAND, ME 04103-3047
(207) 332-1531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3769
ME
Other
Enumeration date
07/02/2011
Last updated
04/01/2023
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