Individual
MS. DIANA ELAINE KANDILAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
23 JEWETT AVE, SOUTH BERWICK, ME 03908-1109
(603) 312-1820
(207) 985-1281
Mailing address
23 JEWETT AVE, SOUTH BERWICK, ME 03908-1109
(603) 312-1820
(207) 985-1281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1529
ME
Other
Enumeration date
09/26/2008
Last updated
11/19/2013
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