Individual
MR. BRIAN NEWBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCPC
Contact information
Practice address
15 WAYSIDE AVE, BRIDGTON, ME 04009-1231
(207) 647-4404
(207) 647-4170
Mailing address
15 WAYSIDE AVE, BRIDGTON, ME 04009-1231
(207) 647-4404
(207) 647-4170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
822
NH
101YP2500X
Professional Counselor
Primary
CC3601
ME
Other
Enumeration date
06/03/2008
Last updated
01/07/2011
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