| None | |
|
Danzig Counseling Services, 936 Roosevelt Trail Windham ME 04062 | |
| (207) 831-3328 | |
| (207) 591-4521 |
| Full Name | None |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | Danzig Counseling Services, 936 Roosevelt Trail, Windham, Maine |
| Authorized Official Name and Position | Howland W. Bickerstaff (THERAPIST) |
| Authorized Official Contact | 2078313328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 46 Linnell Rd Windham ME 04062-5701 Ph: (207) 831-3328 | None Danzig Counseling Services, 936 Roosevelt Trail Windham ME 04062 Ph: (207) 831-3328 |
| NPI Number | 1184848509 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184848509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC 1454 (Maine) | Primary |
| 101YM0800X | Counselor - Mental Health | CC 1511 (Maine) | Primary |
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› Verified 8 days ago
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