Individual
NICOLE L. MEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 MADISON AVE, SKOWHEGAN, ME 04976-1221
(207) 858-4860
(207) 858-4864
Mailing address
40 REBECCA ST, NORRIDGEWOCK, ME 04957-3927
(207) 431-4766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3539
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434529099
—
ME
Enumeration date
12/16/2009
Last updated
12/16/2009
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