Individual
AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
334 MAPLE ST, BANGOR, ME 04401-4036
(207) 671-6124
Mailing address
334 MAPLE ST, BANGOR, ME 04401-4036
(207) 671-6124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2468
ME
Other
Enumeration date
12/27/2006
Last updated
05/06/2024
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