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HEAVEN LANE, LCPC-C
LCPC-C
Mental Health Counselor
NPI: 1336330117IndividualAccepts Medicare
Specialties, Licenses & Credentials
Social Worker
Social Worker
Code: 104100000X
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
XL3614(ME)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2009
Contact & Hours
- Address
- 40 SUMMER ST
BANGOR, ME 04401 - Phone
- (207) 947-0366
Quick Facts
- NPI
- 1336330117
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 17
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