Individual
COURTNEY RICHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 941-8552
Mailing address
PO BOX 2647, BANGOR, ME 04402-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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