| Doctor Name: | VICKI JEAN KARLSSON |
| NPI Number: | 1003976556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | CC1541 |
| Business Practice Address: | 9 Linden St Bangor, ME - 044013408 |
| Business Phone Number: | 2079905449 |
| Business Fax Number: | |
| Mailing Address: | 209 State St, Suite 4 BANGOR |
| State: | ME |
| Postal Code: | 044015412 |
| Phone Number: | 2079429057 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC1541 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |