Individual
ALICIA ANNE MCCONKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
1010 STILLWATER AVE, BANGOR, ME 04401-2616
(207) 990-1666
(207) 990-1688
Mailing address
169 GRIFFIN RD APT 1, BANGOR, ME 04401-2852
(207) 991-1288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC23651
ME
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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