Individual provider · Type 1 NPI

Mary F. Bristol, LCSW

Mental Health Counselor · Portland, ME

NPI number 1598085086 Active

Practice location

75 Washington Ave
Portland, ME 04101-2665

Fax (207) 761-0748

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC11560 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1598085086

Mary F. Bristol, LCSW's National Provider Identifier is 1598085086, issued on Jun 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Jun 7, 2010.