Individual
LEAH C ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4716
ME
1041C0700X
Clinical Social Worker
Primary
MC12283
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427384817
—
ME
Enumeration date
10/20/2009
Last updated
11/29/2010
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