Individual
MICHAEL W. BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC, CC
Contact information
Practice address
58 PORTLAND ROAD #13, KENNEBUNK, ME 04043-6650
(207) 985-8900
Mailing address
58 PORTLAND RD #13, KENNEBUNK, ME 04043-6650
(207) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC1560
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431726099
—
ME
Enumeration date
09/23/2009
Last updated
08/27/2015
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