| Lauren Grousd Lcpc Pllc | |
|
440 Forest Ave Portland ME 04101-2015 | |
| (207) 650-8906 | |
| (207) 221-2130 |
| Full Name | Lauren Grousd Lcpc Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 440 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | Lauren Elizabeth Grousd (OWNER) |
| Authorized Official Contact | 2076508906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Grousd Lcpc Pllc 440 Forest Ave Portland ME 04101-2015 Ph: (207) 650-8906 | Lauren Grousd Lcpc Pllc 440 Forest Ave Portland ME 04101-2015 Ph: (207) 650-8906 |
| NPI Number | 1043763097 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043763097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC4380 (Maine) | Primary |
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