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Individual
MICHAEL W. BEAN
Active
Individual
MICHAEL W. BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC, CC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC1560
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431726099
—
ME
Enumeration date
09/23/2009
Last updated
08/27/2015
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