Doctor Name: | HOWLAND W BICKERSTAFF |
NPI Number: | 1144694894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC, LADC, CCS |
License Number: | CCS3597 |
Business Practice Address: | 86 Tandberg Trl Windham, ME - 040625841 |
Business Phone Number: | 2078930386 |
Business Fax Number: | 2078932086 |
Mailing Address: | Po Box 1360, WINDHAM |
State: | ME |
Postal Code: | 040621360 |
Phone Number: | 2078930386 |
Fax Number: | 2078932086 |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CCS3597 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |