Individual
KRISTINA M BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401-3057
(207) 992-2601
(207) 404-8351
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 992-2601
(207) 404-8351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10230
ME
Other
Enumeration date
07/11/2006
Last updated
05/04/2021
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