Licia Sheridan, LCPC-C
Counselor, Mental Health in South Portland, ME. Individual provider (NPI-1).
NPI number1689306136
StatusActive
Last updated in NPPESJun 24, 2022
Details
- NPI
- 1689306136
- Entity type
- Individual (NPI-1)
- Name
- Licia Sheridan
- Credential
- LCPC-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2022
- Certification date
- Jun 24, 2022
- Last updated
- Jun 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | XL6543 | ME | Yes |
Practice location
49 Atlantic PlSouth Portland, ME 04106-2316
Phone 207-771-5700
Mailing address
2 Pinewood RdKennebunk, ME 04043-7338
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