HEIDI SISTARE

PORTLAND, ME
NPI1154830073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0134405)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC6285)
1041C0700X Social Worker, Clinical
(Licence: ME  LC17651)
Enumeration Date2017-09-22
Last Update Date2022-05-12
Business Address
HEIDI SISTARE
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: 207-874-2141
Mailing Address
HEIDI SISTARE
215 N MAIN ST
WHITE RIVER JUNCTION, VT 05009-0001
Phone number: