Maria A Moustrouphis, LCSW, LADC

NPI #1003037912 in Portland, Maine

Provider Information

NPI Number: 1003037912
Entity Type: Individual
Name: Maria A Moustrouphis, LCSW, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LADC
Enumeration Date: May 1, 2007
Last Updated: Nov 5, 2021

Practice Location

Address: 77 VERMONT AVE
City: Portland
State: Maine
ZIP Code: 04103-3922
Phone: (207) 409-9487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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