Individual
CELESTE V REED HANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
319 UNION ST, BANGOR, ME 04401-4607
(207) 478-1562
(207) 862-5393
Mailing address
21 SUMMER ST, HAMPDEN, ME 04444-1209
(207) 478-1562
(207) 862-5393
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC6917
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098304
ANTHEM LEGACY NUMBER
ME
Enumeration date
05/30/2006
Last updated
11/29/2007
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