Most Relevant Information
Provider Data
| NPI Number: | 1003202110 |
| Provider Name: | KRISTEN CIANELLI |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CAC5573 |
Most Important Dates
| Enumeration Date: | 04/15/2015 |
| Last Updated: | 04/15/2015 |
Provider Practice Location
525 MAIN ST
SOUTH PORTLAND
ME
041065457
Practice Location Phone/Fax
| Phone: | 2078741045 |
| Fax: | 2077670995 |
Provider Mailing Location
525 MAIN ST
SOUTH PORTLAND
ME
041065457
Provider Mailing Phone/Fax
| Phone: | 2078741045 |
| Fax: | 2077670995 |