| Doctor Name: | MS. LORRAINE MARIE SOUKUP |
| NPI Number: | 1598067639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED,LCMHC |
| License Number: | 810 |
| Business Practice Address: | 11 Island Ave Badger Island Kittery, ME - 039041614 |
| Business Phone Number: | 2074389544 |
| Business Fax Number: | 6034335250 |
| Mailing Address: | 11 Island Ave, Badger Island KITTERY |
| State: | ME |
| Postal Code: | 039041614 |
| Phone Number: | 2074389544 |
| Fax Number: | 6034335250 |
| NPI Enumeration Date: | 11/22/2010 |
| NPI Last Update Date: | 11/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |