Most Relevant Information
Provider Data
NPI Number: | 1003509456 |
Provider Name: | KATHERINE P WHITTEMORE LCPC-C |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/31/2023 |
Last Updated: | 05/31/2023 |
Provider Practice Location
1050 FOREST AVE
PORTLAND
ME
041033300
Practice Location Phone/Fax
Phone: | 2072420443 |
Fax: |
Provider Mailing Location
86 DAVIS ST
SOUTH PORTLAND
ME
041064908
Provider Mailing Phone/Fax
Phone: | 2072420443 |
Fax: |