Female

Makiko Matsuoka LCPC

Counselor in Scarborough, ME(View on Map)

Full Name

Makiko Matsuoka LCPC

NPI Number

1003862160

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/26/2006

Specialties

(Taxonomies)

Code

101Y00000X
101YP2500X

Primary Taxonomy

Yes
No

Licenses

State

Maine
Maine

License Number

CC3223
XL2717

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 6568
34 DRESSER RD

City

Scarborough
Scarborough

State

ME
ME

Postal Code

04070-6568
04074-9767

Country

US
US

Telephone Number

(207) 907-9539
(207) 907-9539

Identifiers

Identifier

098304
431733799

Identifier State

ME
ME

Identifier Issuer

ANTHEM LEGACY NUMBER
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/29/2022

Provider Address

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