Individual
BETHANY BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 PARK ST, LEWISTON, ME 04240-7195
(207) 854-1030
Mailing address
104 MAIN ST APT 1, JAY, ME 04239-1662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5096
ME
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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