Bryan J Double, LCPC | |
5 Austin Dr, Orono, ME 04473-3603 | |
(207) 484-8147 | |
Not Available |
Full Name | Bryan J Double |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5 Austin Dr, Orono, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659679355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Cornerstone Behavioral Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616 |
Mailing Address | Practice Location Address |
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Bryan J Double, LCPC 5 Austin Drive, Bangor, ME 04736 Ph: (207) 484-8147 | Bryan J Double, LCPC 5 Austin Dr, Orono, ME 04473-3603 Ph: (207) 484-8147 |
Ms. Ramona L Mellows, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Forest Ave, Orono, ME 04473 Phone: 207-649-7490 | |
Ms. Mary Eileen D'alessandro, L.C.S.W. Counselor Medicare: May Accept Medicare Assignments Practice Location: 126 College Ave, Orono, ME 04473 Phone: 978-430-5401 | |
Brenda Fielding, M.ED, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 129 Forest Ave, Orono, ME 04473 Phone: 207-866-5514 | |
Gavin Pickering, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Park St, Apt 2, Orono, ME 04473 Phone: 207-322-4038 | |
Barbara Jane Mainguy, MA, MSW Counselor Medicare: Medicare Enrolled Practice Location: 288 Main St, Orono, ME 04473 Phone: 802-451-9681 | |
Ms. Elizabeth King Mcconnon, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2269 Essex St, Orono, ME 04473 Phone: 207-817-7424 Fax: 207-827-5022 |