Individual provider · Type 1 NPI

Georgana Prudhomme, LCSW

Mental Health Counselor · Portland, ME

NPI number 1144475690 Active

Practice location

66 Pearl St
Portland, ME 04101-4165

Call (207) 773-9931 Map

Mailing address

10 Baywood Ln
Yarmouth, ME 04096-6131

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC8342 (ME)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1144475690

Georgana Prudhomme, LCSW's National Provider Identifier is 1144475690, issued on Nov 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Nov 25, 2008.