Individual
MISS DIANNE C GOODENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 HANCOCK ST, BAR HARBOR, ME 04609-1714
(207) 288-5082
(207) 288-7024
Mailing address
10 WAYMAN LN, P.O. BOX 8, BAR HARBOR, ME 04609-1625
(207) 288-5082
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6486
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC6486
MAINE LICENSE
ME
Enumeration date
06/13/2007
Last updated
12/18/2007
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