Individual provider · Type 1 NPI

Heaven Frankie Lane, LCPC-C

Mental Health Counselor · Bangor, ME

NPI number 1336330117 Active

Practice location

40 Summer St
Bangor, ME 04401-6446

Mailing address

78 Bickford Ter
Enfield, ME 04493-4460

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XXL3614 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1336330117

Heaven Frankie Lane, LCPC-C's National Provider Identifier is 1336330117, issued on Aug 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bangor, ME. The record was last updated on Jul 6, 2010.