Individual
MS. JULIE LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
52 WATER ST, HALLOWELL, ME 04347-1437
(207) 779-7582
Mailing address
52 WATER ST, HALLOWELL, ME 04347-1437
(207) 779-7582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4561
ME
101YP1600X
Pastoral Counselor
XP4269
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02988
LOCUS RATER ID
ME
Enumeration date
08/17/2015
Last updated
02/09/2016
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