Reed Anne Kelly Fahlgren, LCPC-C
Individual provider Active NPI Professional Counselor · Freeport, ME
NPI 1548645161 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1548645161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- XL4500 (ME)
- Practice address
- 14 Griffin Rd
Freeport, ME 04032-6800 - Phone
- (323) 854-0188
- NPI assigned
- Jul 24, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| XL4500 | ME | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL4500 | ME | Yes |
Addresses
Primary practice location
14 Griffin Rd
Freeport, ME 04032-6800
Mailing address
14 Griffin Rd
Freeport, ME 04032-6800
Phone (323) 854-0188
Other providers in Freeport, ME
- Samantha Emmons
- Katherine P Enright
- Austin Louis Errico
- Hilary Neilson Eslinger
- Evergreen Counseling, LLC
- Peter Michael File
- Susan Fitzgerald
- Justine Nicole Fraser
- Freeport Cardiology, LLC
- Freeport Convalescent Center Inc
All providers in Freeport, ME · Professional Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.