Individual provider · Type 1 NPI
Nicole Wetherell, LCPC, LADC, CCS
Counselor · Portland, ME
NPI number
1902157928
Active
Practice location
57 Exchange St Ste 402
Portland, ME 04101-5050
Mailing address
525 Main St
South Portland, ME 04106-5462
Other practice locations
- 525 Main Street, South Portland, ME 04106 · (207) 874-1045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4 other providers at this address
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About NPI 1902157928
Nicole Wetherell, LCPC, LADC, CCS's National Provider Identifier is 1902157928, issued on Oct 1, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, ME. The record was last updated on Dec 13, 2018.