Individual provider · Type 1 NPI

Keith Gordon Tibbetts, LCPC

Professional Counselor · Hampden, ME

NPI number 1285983262 Active

Practice location

50 Emerald Drive
Hampden, ME 04444

Fax (207) 941-2955

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XXL3783 (ME)

Professional Counselor: Definition to come...

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About NPI 1285983262

Keith Gordon Tibbetts, LCPC's National Provider Identifier is 1285983262, issued on Sep 5, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hampden, ME. The record was last updated on Jun 27, 2024.