Individual
BRACAL KILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
128 SWEDEN ST STE 1, CARIBOU, ME 04736-2071
(207) 999-1267
Mailing address
41 JOHNSON RD, NEW SWEDEN, ME 04762-3504
(907) 957-6533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC5174
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129186
LPC
AK
01
—
CC5174
MAINE LICENSING BOARD
ME
Enumeration date
01/16/2019
Last updated
10/21/2019
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