Individual provider · Type 1 NPI

Brendan Wicklund

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1902610017 Active

Practice location

659 Hogan Rd
Bangor, ME 04401-3626

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC8665 (ME)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902610017

Brendan Wicklund's National Provider Identifier is 1902610017, issued on Feb 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bangor, ME. The record was last updated on Feb 7, 2025.