Individual
KYLIE BRENNA NICHOLE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
34 PENN PLZ, BANGOR, ME 04401-3620
(207) 941-2952
Mailing address
34 PENN PLZ, BANGOR, ME 04401-3620
(207) 941-2952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL8368
ME
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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