Individual
MR. RICHARD A NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW, LADC,MAC
Contact information
Practice address
61 MAIN ST, SUITE 62, BANGOR, ME 04401-6397
(207) 942-5800
(207) 942-5858
Mailing address
61 MAIN ST, SUITE 62, BANGOR, ME 04401-6397
(207) 942-5800
(207) 942-5858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3357
ME
101YM0800X
Mental Health Counselor
LC6496
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041082
ANTHEM BC/BS
ME
01
—
164979
VALUEOPTIONS
ME
01
—
2069529
CIGNA BEHAV. HEALTH
ME
05
—
222270000
—
ME
01
—
321168
MHN
ME
01
—
9174544
PHCS
ME
01
—
IP550438
MAGELLAN PROVIDER
ME
Enumeration date
06/05/2006
Last updated
09/11/2025
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