Individual
BRYAN J. DOUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5 AUSTIN DR, ORONO, ME 04473-3603
(207) 484-8147
Mailing address
5 AUSTIN DRIVE, BANGOR, ME 04736
(207) 484-8147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
07/11/2024
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