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Individual

CAROL JAMES COOKSON CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LADC

Contact information

Practice address
115 FRANKLIN ST, BANGOR, ME 04401-4936
(207) 659-3408
Mailing address
PO BOX 234, BANGOR, ME 04402-0234
(207) 659-3408

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC 3563
ME
101YP2500X
Professional Counselor
Primary
CC4013
ME

Other

Enumeration date
07/01/2009
Last updated
03/08/2018
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