Individual
TYLER ARSENAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPCC MHRTC CRC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
Mailing address
PO BOX 936, BANGOR, ME 04402-0936
(207) 945-4240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4256
ME
Other
Enumeration date
06/25/2014
Last updated
08/06/2015
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