Provider Demographics
NPI:1013248178
Name:KENT, CARA LYNN (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LYNN
Last Name:KENT
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 1:901 WASHINGTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2842
Mailing Address - Country:US
Mailing Address - Phone:207-871-1200
Mailing Address - Fax:207-871-1232
Practice Address - Street 1:PO BOX 159
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:ME
Practice Address - Zip Code:04944-0159
Practice Address - Country:US
Practice Address - Phone:207-238-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3807101YM0800X
MECC3807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health