Doctor Name: | LYNN HENDSBEE |
NPI Number: | 1093121501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C, LADC |
License Number: | LC5643 |
Business Practice Address: | 16 Town House Rd West Gardiner, ME - 043453402 |
Business Phone Number: | 2076241089 |
Business Fax Number: | |
Mailing Address: | 16 Town House Rd, WEST GARDINER |
State: | ME |
Postal Code: | 043453402 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/03/2014 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC5643 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |