Patricia Mary Albert-Dehetre, LCSW

Individual provider Active NPI Mental Health Counselor · Lewiston, ME

NPI 1497087944 · NPPES record last updated Feb 9, 2010

Key facts

NPI
1497087944
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LC11382 (ME)
Practice address
1038 Sabattus St
Lewiston, ME 04240-3340
Phone
(207) 784-2460
Fax
(207) 782-2424
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CCS4460MEMDAddiction (Substance Use Disorder) Counselor
LC3748MEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC3748 ME
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS4460 ME
Mental Health Counselor 101YM0800X LC11382 ME Yes

Addresses

Primary practice location

1038 Sabattus St
Lewiston, ME 04240-3340

Mailing address

PO Box 626
Sabattus, ME 04280-0626
Phone (207) 784-2460

Other names

  • Patricia Mary Albert Former name

Other providers in Lewiston, ME

All providers in Lewiston, ME · Mental Health Counselor in Maine

Sources for this page

Verify at the official NPI Registry.