Diane M Knowlton, L.C.P.C
Counselor, Professional in Sabattus, ME. Individual provider (NPI-1).
NPI number1063715134
StatusActive
Last updated in NPPESDec 13, 2010
Details
- NPI
- 1063715134
- Entity type
- Individual (NPI-1)
- Name
- Miss Diane M Knowlton
- Credential
- L.C.P.C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2010
- Last updated
- Dec 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CC3288 | ME | Yes |
Practice location
40 Ball Park RdSabattus, ME 04280-4246
Phone 207-375-6961
Mailing address
40 Franklin St1st Floor Back
Lewiston, ME 04240-6340
Phone 207-740-6072
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