Individual
MS. NICHOLE PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(207) 941-7990
Mailing address
692 W OLD TOWN RD, OLD TOWN, ME 04468-5715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF3946
ME
106H00000X
Marriage & Family Therapist
XM2969
ME
Other
Enumeration date
05/20/2009
Last updated
06/08/2023
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