Thomas Earley LCPC

NPI 1902994486 - Counselor - 101Y00000X

NPI Details
NPI 1902994486
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
333 MAIN STREET
CANAAN ME, 04929, US
Phone (207) 474-6990
Fax (207) 474-8899
Business Location
118 MOOSEHEAD TRL
SUITE 5
NEWPORT ME, 04953-4020, US
Phone (207) 368-4213
Fax (207) 355-3033
Toxanomy
Taxonomy Code 101Y00000X
License State Maine
License Number CC9
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According to our database, Thomas Earley LCPC NPI is 1902994486, taxonomy code is 101Y00000X and license number is CC9, license state is located at Maine. Thomas Earley LCPC physically located at 333 Main Street, Canaan ME, 04929. NPI Number Thomas Earley LCPC has the Individual type.

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1902994486 NPI number is provided on an as is basis without warranty of any kind. 1902994486 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Earley LCPC are for informational purposes only.