Individual
BRIAN ROGERS RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LCPC
Contact information
Practice address
316 WATER ST, SKOWHEGAN, ME 04976-1734
(207) 474-9644
Mailing address
PO BOX 3048, SKOWHEGAN, ME 04976-3048
(207) 474-9644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC535
ME
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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