Individual
LISA MARIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
157 PARK ST, SUITE 5, BANGOR, ME 04401-5093
(207) 992-0410
Mailing address
157 PARK ST, SUITE 5, BANGOR, ME 04401-5093
(207) 992-0410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4765
ME
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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