Individual
MS. LYNNA ANN TUPICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
64 WEST ST, BANGOR, ME 04401-5809
(207) 478-8017
Mailing address
PO BOX 1626, BANGOR, ME 04402-1626
(207) 478-8017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
XL3719
ME
101YP2500X
Professional Counselor
Primary
CC4678
ME
Other
Enumeration date
01/25/2011
Last updated
12/07/2020
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