Individual
NATHAN C. DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRT-CSP, MHRT-C
Contact information
Practice address
43 HATCH DR STE 310, CARIBOU, ME 04736-2002
(207) 493-3361
(207) 492-4889
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/22/2013
Last updated
02/02/2021
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