Individual
JEFFREY BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC
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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