Individual
HOWLAND W BICKERSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC, CCS
Contact information
Practice address
86 TANDBERG TRL, WINDHAM, ME 04062-5841
(207) 893-0386
(207) 893-2086
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CCS3597
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1454
ME
104100000X
Social Worker
CC1511
ME
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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