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Organization

DIRIGO COUNSELING CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN ALGEE LCPC, CCS, SAP (EXECUTIVE DIRECTOR)
(207) 973-0505
Entity
Organization

Contact information

Practice address
557 HAMMOND ST, BANGOR, ME 04401-4511
(207) 973-0505
(207) 942-2175
Mailing address
557 HAMMOND ST, BANGOR, BANGOR, ME 04401-4511
(207) 973-0505
(207) 942-2175

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
600402
ME
101YP2500X
Professional Counselor
527039
ME
251S00000X
Community/Behavioral Health Agency
Primary
527039
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432471100
ME
Enumeration date
07/14/2005
Last updated
10/23/2016
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