| Doctor Name: | NICOLA J WEATHERBEE |
| NPI Number: | 1073847299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC |
| License Number: | XL4368 |
| Business Practice Address: | 28 Congress St Rumford, ME - 042762092 |
| Business Phone Number: | 2073641610 |
| Business Fax Number: | 2073641611 |
| Mailing Address: | 28 Congress St, RUMFORD |
| State: | ME |
| Postal Code: | 042762092 |
| Phone Number: | 2073641610 |
| Fax Number: | 2073641611 |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | XL4368 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |