Individual
KATIE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
268 STILLWATER AVENUE, ACADIA HOSPITAL CORP., BANGOR, ME 04401
(207) 973-6307
(207) 973-6077
Mailing address
PO BOX 422, ACADIA HOSPITAL CORP., BANGOR, ME 04402-0422
(207) 973-6100
(207) 973-6109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL2961
ME
Other
Enumeration date
12/27/2006
Last updated
02/19/2013
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