Bradie Jo Castonguay

Individual provider Active NPI Marriage & Family Therapist · Livermore Falls, ME

NPI 1982493474 · NPPES record last updated May 2, 2025

Key facts

NPI
1982493474
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
XM7860 (ME)
Practice address
103 Depot St
Livermore Falls, ME 04254-1316
Phone
(207) 861-2099
NPI assigned
May 2, 2025
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
XM7860MEMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X XM7860 ME Yes

Addresses

Primary practice location

103 Depot St
Livermore Falls, ME 04254-1316

Mailing address

103 Depot St
Livermore Falls, ME 04254-1316
Phone (207) 861-2099

Other providers in Livermore Falls, ME

All providers in Livermore Falls, ME · Marriage & Family Therapist in Maine

Sources for this page

Verify at the official NPI Registry.