Doctor Name: | MS. MARIE LOUISE DEXTER |
NPI Number: | 1649370545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CLINICAL COUNSELOR |
License Number: | 169 |
Business Practice Address: | 12 Pond Street Rangeley, ME - 049700157 |
Business Phone Number: | 2078642670 |
Business Fax Number: | 2078645600 |
Mailing Address: | 12 Pond Street, P.o. Box 157 RANGELELY |
State: | ME |
Postal Code: | 049700157 |
Phone Number: | 2078642670 |
Fax Number: | 2078645600 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 169 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |