Individual
MS. KAREN DENISE STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
265 HAMMOND ST, BANGOR, ME 04401-4610
(207) 942-5055
(207) 942-7013
Mailing address
PO BOX 1237, BANGOR, ME 04402-1237
(207) 942-5055
(207) 942-7013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
62898
DC
101YM0800X
Mental Health Counselor
MH7173
FL
101YP2500X
Professional Counselor
Primary
CC3663
ME
106H00000X
Marriage & Family Therapist
MT2435
FL
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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