Joel Lavenson, MA, NCC, LCPC, LPC

Individual provider Active NPI Mental Health Counselor · Belgrade, ME

NPI 1659612851 · NPPES record last updated Mar 13, 2013

Key facts

NPI
1659612851
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
CC3367 (ME)
Practice address
109 Sahagian Rd
Belgrade, ME 04917-4414
Phone
(207) 689-8004
Fax
(207) 465-2822
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC3367MEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC3367 ME Yes

Addresses

Primary practice location

109 Sahagian Rd
Belgrade, ME 04917-4414

Mailing address

109 Sahagian Rd
Belgrade, ME 04917-4414
Phone (207) 689-8004

Other providers in Belgrade, ME

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

Sources for this page

Verify at the official NPI Registry.