Individual
VIRGINIA E BELANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
106 NICHOLS ST, MADISON, ME 04950-1543
(207) 696-7267
Mailing address
331 KINCAID RD, MADISON, ME 04950-3923
(207) 696-7267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1946
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431593399
—
ME
Enumeration date
12/04/2006
Last updated
01/05/2015
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