Roy E Siegfriedt, LCPC
Counselor, Professional in Randolph, ME. Individual provider (NPI-1).
NPI number1457549834
StatusActive
Last updated in NPPESOct 10, 2007
Details
- NPI
- 1457549834
- Entity type
- Individual (NPI-1)
- Name
- Roy E Siegfriedt
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2007
- Last updated
- Oct 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CC686 | ME | Yes |
Practice location
9 Hillcrest AveRandolph, ME 04346-5131
Phone 207-582-4218 · Fax 207-582-4360
Mailing address
899 Riverside StPortland, ME 04103-1070
Phone 207-871-1200 · Fax 207-871-1232
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