Individual
MR. DOUGLAS L LIBBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCPC
Contact information
Practice address
153 PREBLE AVENUE, MADISON, ME 04850
(207) 696-3622
Mailing address
153 PREBLE AVENUE, MADISON, ME 04850
(207) 696-3622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC56
ME
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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