Provider Demographics
NPI:1750642252
Name:FRANCIS, STEPHANIE C (LCPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:C
Last Name:FRANCIS
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 1:46 BLUEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINTERPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04496-4614
Mailing Address - Country:US
Mailing Address - Phone:207-223-4282
Mailing Address - Fax:
Practice Address - Street 1:100 US HWY 1
Practice Address - Street 2:SUITE 2
Practice Address - City:VERONA ISLAND
Practice Address - State:ME
Practice Address - Zip Code:04416-3015
Practice Address - Country:US
Practice Address - Phone:207-223-4282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC2746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional