Organization
BONNIE I HANDY LCSW LADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE IRENE HANDY LCSW, LADC (OWNER)
(207) 653-1371
Entity
Organization
Contact information
Practice address
57 TANDBERG TRL, SUITE #6, WINDHAM, ME 04062-6425
(207) 653-1371
Mailing address
PO BOX 160, GRAY, ME 04039-0160
(207) 653-1371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3393
ME
1041C0700X
Clinical Social Worker
Primary
LC6646
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME1202
MEDICARE ID
ME
Enumeration date
10/03/2012
Last updated
10/09/2013
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