Organization Name: | HOWLAND W. BICKERSTAFF |
NPI Number: | 1184848509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWLAND W. BICKERSTAFF (THERAPIST) |
Mailing Address: | Danzig Counseling Services, 936 Roosevelt Trail Windham |
State: | ME US |
Postal Code: | 04062 |
Phone Number: | 2078313328 |
Fax Number: | 2075914521 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC 1454 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |