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Soksan Pao
Mental Health Counselor in Windham, Maine
NPI 1700361565

Soksan Pao is a Mental Health Counselor based in Windham, ME and is specialized in Mental Health. Soksan Pao practices in Windham, ME. The NPI Number for Soksan Pao is 1700361565 and holds a License No. MC17466 (Maine).

The current practice location address for Soksan Pao is 744 Roosevelt Trl Ste 207, Windham, ME and can be reached out via phone at 207-749-4991.

Location: 744 Roosevelt Trl Ste 207, Windham, ME, 04062-5281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700361565
Provider Name
Soksan Pao
Credential
Provider Entity Type
Individual
Gender
Male
Address
744 Roosevelt Trl Ste 207, Windham, ME, 04062-5281
Phone Number
207-749-4991
Fax Number
Provider Enumeration Date
09/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
744 Roosevelt Trl Ste 207
City
Windham
State
Maine
Zip
04062-5281
Phone Number
207-749-4991
Fax Number
person
Provider Business Mailing Address Details
Address
744 Roosevelt Trl Ste 207
City
Windham
State
Maine
Zip
04062-5281
Phone Number
207-749-4991
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC17466 (Maine)
Definition
Definition to come...
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