NPI 1063255883

Avery Stowe Laderer, LCPCC

Practitioner Counselor Belfast, ME

Practice location

Address: 9 Field St STE 219, Belfast, ME 04915-6643
Phone: (207) 505-6082
Mailing address: 21 Fullerton St, Boothbay Harbor, ME 04538-1886

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence XL7562 (ME)

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Registry record

NPI: 1063255883
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

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.