Individual
JOY R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
265 HAMMOND ST, BANGOR, ME 04401-4610
(207) 942-5055
(207) 942-7013
Mailing address
189 EXCHANGE ST, BANGOR, ME 04401-6507
(207) 942-7013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3908
ME
Other
Enumeration date
01/10/2012
Last updated
07/10/2013
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