Kristen Bouse, LCSW

NPI 1295820140 · on the registry since 2006

Practice

Address: 343 Forest Ave
Portland, ME 04101
Phone: (207) 874-1030
Fax: (207) 874-1044
Organisation at this address: Liberty Bay Recovery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Also registered as: Mental Health Counselor
Licence states on file: ME
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine