Individual
STUART BEDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
48 PARADISE RD, BETHEL, ME 04217-3601
(207) 749-5883
Mailing address
PO BOX 374, BETHEL, ME 04217-0374
(207) 749-5883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2399
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129140301
—
ME
Enumeration date
12/28/2006
Last updated
09/26/2011
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