Individual
ANDREA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 249-8231
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 249-8231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3845
ME
101YM0800X
Mental Health Counselor
XL3581
ME
Other
Enumeration date
12/08/2010
Last updated
08/05/2012
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