Individual
KAYLA ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNRTC
Contact information
Practice address
1066 KENDUSKEAG AVE, BANGOR, ME 04401-2914
(207) 282-3351
Mailing address
PO BOX 2373, BANGOR, ME 04402-2373
(207) 282-3351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
32197
ME
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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