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Susan Russell, LCPC
NPI 1487793907 · on the registry since 2007 · sole proprietor
Practice
- Address
- 319 Union St
Bangor, ME 04401 - Phone
- (207) 942-2199
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine