| Daniel N Gasper Lcpc Ladc Llc | |
|
87 Milbridge Rd Cherryfield ME 04622-4403 | |
| (207) 530-7774 | |
| (207) 546-2100 |
| Full Name | Daniel N Gasper Lcpc Ladc Llc |
|---|---|
| Speciality | Counselor |
| Location | 87 Milbridge Rd, Cherryfield, Maine |
| Authorized Official Name and Position | Daniel N Gasper (OWNER/PROVIDER) |
| Authorized Official Contact | 2075307774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel N Gasper Lcpc Ladc Llc 7 Shop Hill Rd Milbridge ME 04658-3029 Ph: (207) 530-7774 | Daniel N Gasper Lcpc Ladc Llc 87 Milbridge Rd Cherryfield ME 04622-4403 Ph: (207) 530-7774 |
| NPI Number | 1740050434 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 5698119113 |
|---|---|
| Medicare Enrollment ID | O20240222003352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740050434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Daniel Gasper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568868586 PECOS PAC ID: 1951750892 Enrollment ID: I20240222003597 |
Sensational Learning, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Blacks Woods Rd, Cherryfield, ME 04622 Phone: 207-812-2102 |