Individual provider · Type 1 NPI
Mary-Atala Lessard, LCSW
Mental Health Counselor · Portland, ME
NPI number
1649463860
Active
Practice location
222 St. John St., Suite 16
Portland, ME 04102
Fax (207) 872-4522
Mailing address
147 Allen Ave., #20
Portland, ME 04103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LC3751 (ME) |
Mental Health Counselor: Definition to come...
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About NPI 1649463860
Mary-Atala Lessard, LCSW's National Provider Identifier is 1649463860, issued on Aug 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Jul 25, 2018.