Individual
JOSEPH ANTHONY LANZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
25 AIRPORT ROAD, LINCOLN, ME 04457
(207) 794-9073
(207) 794-8919
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC2981
ME
101YP2500X
Professional Counselor
Primary
XL3621
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023327079
—
ME
Enumeration date
09/24/2010
Last updated
11/29/2010
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