Individual
MRS. CHRISTANNA HARLOW LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
40 SUMMER ST, 2ND FLOOR, BANGOR, ME 04401-7144
(207) 299-1138
(207) 990-3660
Mailing address
40 SUMMER ST, 2ND FLOOR, BANGOR, ME 04401-7144
(207) 299-1138
(207) 990-3660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2973
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100454
ANTHEM
ME
05
—
431613899
—
ME
01
—
73688869
AETNA
ME
Enumeration date
07/26/2006
Last updated
05/29/2015
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