Kindra Threlkeld Bernard, LCPC
Counselor, Professional in Portland, ME. Individual provider (NPI-1).
NPI number1619080132
StatusActive
Last updated in NPPESOct 25, 2011
Details
- NPI
- 1619080132
- Entity type
- Individual (NPI-1)
- Name
- Kindra Threlkeld Bernard
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2006
- Last updated
- Oct 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CC3547 | ME | Yes |
Practice location
200 High StSuite 2c
Portland, ME 04101-2831
Phone 207-251-5359
Mailing address
200 High StSuite 2c
Portland, ME 04101-2831
Phone 207-251-5359
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