Denise M. Daniel, LCPC, LADC

Individual provider Active NPI Professional Counselor · Bucksport, ME

NPI 1154486488 · NPPES record last updated Oct 31, 2013

Key facts

NPI
1154486488
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC2583 (ME)
Practice address
110 Broadway
Bucksport, ME 04416-4612
Phone
(207) 469-7371
Fax
(207) 469-3007
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CC2583MEMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC2583 ME Yes

Addresses

Primary practice location

110 Broadway
Bucksport, ME 04416-4612

Mailing address

110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371

Other identifiers

IdentifierTypeStateIssuer
434701299MedicaidME

Other names

  • Mrs. Denise M. Noll Former name

Other providers in Bucksport, ME

All providers in Bucksport, ME · Professional Counselor in Maine

Sources for this page

Verify at the official NPI Registry.