Provider Demographics
NPI:1174958805
Name:COOMBS, CATHERINE LYNN (LCPC/CADC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYNN
Last Name:COOMBS
Suffix:
Gender:F
Credentials:LCPC/CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CARRIAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9116
Mailing Address - Country:US
Mailing Address - Phone:207-576-9983
Mailing Address - Fax:
Practice Address - Street 1:23 CARRIAGE WAY
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9116
Practice Address - Country:US
Practice Address - Phone:207-576-9983
Practice Address - Fax:207-219-8247
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC5354101YA0400X
MECC5221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)