Provider Demographics
NPI:1861896771
Name:MUNSEY-DEGUISTO, ELIZABETH M (LCPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:MUNSEY-DEGUISTO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HARDING RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2638
Mailing Address - Country:US
Mailing Address - Phone:207-450-3538
Mailing Address - Fax:
Practice Address - Street 1:30 HARDING RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2638
Practice Address - Country:US
Practice Address - Phone:207-450-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2025-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC5251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health