person
Elizabeth G. Wallner, LCPC
Mental Health Counselor in Kittery, Maine
NPI 1457581548

Elizabeth G. Wallner is a Mental Health Counselor based in South Portland, ME and is specialized in Mental Health. Elizabeth G. Wallner practices in Kittery, ME and has the professional credentials of LCPC. The NPI Number for Elizabeth G. Wallner is 1457581548 and holds a License No. CC3943 (Maine).

The current practice location address for Elizabeth G. Wallner is 453 Us Route 1, Kittery, ME and can be reached out via phone at 207-451-1750 and via fax at 207-439-4360. You can also correspond with Elizabeth G. Wallner through the mailing address at 78 ATLANTIC PL, SOUTH PORTLAND, ME - 04106-2316 (mailing address contact number: 207-842-7701).

Location: 453 Us Route 1, Kittery, ME, 04106-2316
person
Provider Profile Details
NPI Number
1457581548
Provider Name
Elizabeth G. Wallner
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
453 Us Route 1, Kittery, ME, 04106-2316
Phone Number
207-451-1750
Fax Number
207-439-4360
Provider Enumeration Date
07/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
434383199 05 ME
institution
Provider Business Practice Location Address Details
Address
453 Us Route 1
City
State
Zip
03904-5513
Phone Number
207-451-1750
Fax Number
207-439-4360
person
Provider Business Mailing Address Details
Address
78 Atlantic Pl
City
State
Zip
04106-2316
Phone Number
207-842-7701
Fax Number
207-842-7773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC3943 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC3943 (Maine)
Definition
Definition to come...
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