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Individual

CAROLYN A PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LADC

Contact information

Practice address
15 STATE ST, SUITE 302, BANGOR, ME 04401-5103
(207) 992-2106
Mailing address
15 STATE ST, SUITE 302, BANGOR, ME 04401-5103
(207) 992-2106

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC740
ME
101YM0800X
Mental Health Counselor
Primary
CC1902
ME

Other

Enumeration date
04/17/2007
Last updated
06/15/2012
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