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Individual

MR. BRIAN JAMES DINEEN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
369 HIGHLAND AVE, GARDINER, ME 04345-6003
(207) 449-8717
Mailing address
369 HIGHLAND AVE, GARDINER, ME 04345-6003
(207) 449-8717

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3694
ME

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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