Doctor Name: | KATHLEEN MORRISSETTE |
NPI Number: | 1114332186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | XL4343 |
Business Practice Address: | 144 Us Route 1 Suite 4 Scarborough, ME - 040747219 |
Business Phone Number: | 2074755737 |
Business Fax Number: | |
Mailing Address: | 144 Us Route 1, Suite 4 SCARBOROUGH |
State: | ME |
Postal Code: | 040747219 |
Phone Number: | 2074755737 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | XL4343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |