Individual
AMITY HOPE OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
27 STATE ST, BANGOR, ME 04401-5113
(207) 200-1326
Mailing address
38 TYLER AVE, BANGOR, ME 04401-3726
(207) 200-1326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3573
ME
Other
Enumeration date
05/27/2008
Last updated
08/03/2020
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