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Polly Moutevelis-Burgess, LCPC, LMFT

NPI 1548570989 · on the registry since 2010 · sole proprietor

Practice

Address
106 Pine St
Bangor, ME 04401
Phone
(207) 990-5070
Fax
(207) 581-3017

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-19

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