Doctor Name: | KEN D MORRIS |
NPI Number: | 1023241981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | CC 3491 |
Business Practice Address: | 134 Main St Lewiston, ME - 042407739 |
Business Phone Number: | 2075132796 |
Business Fax Number: | |
Mailing Address: | 466 College St, LEWISTON |
State: | ME |
Postal Code: | 042405220 |
Phone Number: | 2073443110 |
Fax Number: | 2073443110 |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC 3491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |