Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ME |
NPI | 1174085252 |
---|---|
Provider Name | Mrs. Kristi Lee Whitten-Drummond |
First Address | Fairfield, ME 04937-3254 |
Second Address | Fairfield, ME 04937-3254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2019 |
Last Update Date | 08/04/2019 |