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Individual

MR. BRIAN M MELDRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
6 CUMBERLAND ST, BRUNSWICK, ME 04011-2161
(207) 754-0629
Mailing address
13 STONE ST, BRUNSWICK, ME 04011-1515
(207) 754-0629

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC769
ME
103TS0200X
School Psychologist
PE549
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047378
ANTHEM BCBS
ME
05
213290000
ME
Enumeration date
12/14/2006
Last updated
02/10/2026
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