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)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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