Individual
AUSTIN LOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 FLORIDA AVE, BANGOR, ME 04401-3005
(207) 299-1414
Mailing address
400 E SIDE RD, SORRENTO, ME 04677-3114
(207) 776-1775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4944
ME
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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