Most Relevant Information
Provider Data
| NPI Number: | 1003037912 |
| Provider Name: | MARIA A MOUSTROUPHIS LCSW, LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | ME317297 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 11/05/2021 |
Provider Practice Location
77 VERMONT AVE
PORTLAND
ME
041033922
Practice Location Phone/Fax
| Phone: | 2074099487 |
| Fax: |
Provider Mailing Location
77 VERMONT AVE
PORTLAND
ME
041033922
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |