Individual
JEANNE M DORLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
82 COLUMBIA ST, SUITE301, BANGOR, ME 04401-6357
(207) 942-8200
(207) 990-3065
Mailing address
82 COLUMBIA ST, SUITE301, BANGOR, ME 04401-6357
(207) 942-8200
(207) 990-3065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC2537
ME
103TC0700X
Clinical Psychologist
Primary
PS1240
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098304
ANTHEM LEGACY NUMBER
ME
05
—
431511499
—
ME
Enumeration date
06/08/2006
Last updated
10/27/2010
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