Ms Nichole Proulx, LMFT | |
1 College Cir, Bangor, ME 04401-2929 | |
(207) 941-7990 | |
Not Available |
Full Name | Ms Nichole Proulx |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1 College Cir, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790910735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | XM2969 (Maine) | Secondary |
106H00000X | Marriage & Family Therapist | MF3946 (Maine) | Primary |
Entity Name | Eastern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Entity Name | Acadia Hospital Corp. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
Mailing Address | Practice Location Address |
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Ms Nichole Proulx, LMFT 692 W Old Town Rd, Old Town, ME 04468-5715 Ph: () - | Ms Nichole Proulx, LMFT 1 College Cir, Bangor, ME 04401-2929 Ph: (207) 941-7990 |
Mrs. Rebecca E Sander, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Exchange St, Bangor, ME 04401 Phone: 207-941-6434 Fax: 207-941-9366 | |
Caitlin M. Arey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 49 Florida Ave, Bangor, ME 04401 Phone: 207-299-1414 Fax: 207-947-6278 | |
Sandra Rulon, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 49 Florida Ave, Bangor, ME 04401 Phone: 207-299-1414 | |
Tracie Zinman-ibrahim, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-404-8181 Fax: 207-922-4198 | |
Ms. Simone Elisabeth Cromwell, MA, LMFTTC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 360 Harlow St, Bangor, ME 04401 Phone: 877-668-8678 | |
Alexandria S Patel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 157 Park St Ste 34, Bangor, ME 04401 Phone: 207-974-6057 |