Individual
MICHAEL J ANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
34 SUMMER ST, BANGOR, ME 04401-6446
(207) 992-2636
(207) 947-0435
Mailing address
50 SAM WENTWORTH RD, LEBANON, ME 04027-3845
(603) 534-5927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3430
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433038999
—
ME
Enumeration date
10/07/2008
Last updated
01/18/2024
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