Individual
JEFFREY BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC
Contact information
Practice address
295 WATER ST, SUITE 8, AUGUSTA, ME 04330-4619
(207) 626-3373
(207) 626-3365
Mailing address
295 WATER ST, SUITE 8, AUGUSTA, ME 04330-4619
(207) 626-3373
(207) 626-3365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC224
ME
101YP2500X
Professional Counselor
Primary
CC3646
ME
Other
Enumeration date
02/14/2011
Last updated
05/11/2012
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