Individual provider · Type 1 NPI
Theresa C. Anderson, LCPC
Professional Counselor · Portland, ME
NPI number
1417095795
Active
Practice location
37 Melody Ln
Portland, ME 04103-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC3177 (ME) |
Professional Counselor: Definition to come...
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About NPI 1417095795
Theresa C. Anderson, LCPC's National Provider Identifier is 1417095795, issued on Feb 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Sep 4, 2014.