MR. R. Andrew Derstine, LCSW

NPI #1114051984 in Bridgton, Maine

Provider Information

NPI Number: 1114051984
Entity Type: Individual
Name: MR. R. Andrew Derstine, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Mar 15, 2007
Last Updated: Nov 4, 2008

Practice Location

Address: 236A PORTLAND RD
City: Bridgton
State: Maine
ZIP Code: 04009
Phone: (207) 647-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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