Provider Demographics
NPI:1457943193
Name:MUNSELL, MARGARET (LCPC-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MUNSELL
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CONSTELLATION WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2256
Mailing Address - Country:US
Mailing Address - Phone:207-956-5977
Mailing Address - Fax:
Practice Address - Street 1:260 WESTERN AVE STE 202
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2445
Practice Address - Country:US
Practice Address - Phone:207-956-5977
Practice Address - Fax:888-351-2943
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL5757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health