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Tabitha Portera, LCPC

NPI 1518487040 · on the registry since 2017 · sole proprietor

Practice

Address
20 E Summer St
Bangor, ME 04401
Phone
(207) 944-6766

Additional practice sites

  • 24 Springer Dr Ste 202, Bangor, ME
  • 21 Main St Ste 301, Bangor, ME

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-03

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