Individual provider · Type 1 NPI
Kristen Stake, LCPC
Counselor · Portland, ME
NPI number
1952758799
Active
Practice location
399 Fore St Ste 8
Portland, ME 04101-4388
Mailing address
93 Concord St Apt 2
Portland, ME 04103-3175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | XL5311 (ME) |
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.
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About NPI 1952758799
Kristen Stake, LCPC's National Provider Identifier is 1952758799, issued on May 23, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, ME. The record was last updated on Dec 20, 2022.