Healthcare Provider Details

I. General information

NPI: 1598464570
Provider Name (Legal Business Name): KRISTINE MARIE KARIG LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 WESTERN AVE STE 207
SOUTH PORTLAND ME
04106-2457
US

IV. Provider business mailing address

117 MANCHESTER ST STE 5A
CONCORD NH
03301-5101
US

V. Phone/Fax

Practice location:
  • Phone: 603-606-9357
  • Fax: 603-217-2075
Mailing address:
  • Phone: 603-606-9357
  • Fax: 603-217-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0134893
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: