NPI 1013336254

Mary Beach, LCPCC

Practitioner Mental Health Counselor South Portland, ME

Practice location

Address: 50 Lydia Ln, South Portland, ME 04106-2156
Phone: (207) 874-1175

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence XL3731 (ME)

Other Counselor providers in Maine →

Registry record

NPI: 1013336254
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2014
Record last updated: 15 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.