Individual
MS. JUNE WINIFRED DOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
100 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 990-4402
Mailing address
305 PINE ST, BANGOR, ME 04401-5272
(207) 990-4402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC241
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048263
ANTHEM
ME
Enumeration date
08/25/2006
Last updated
07/08/2007
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