| Doctor Name: | MICHAEL STETSON |
| NPI Number: | 1720393010 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC-C |
| License Number: | XL3549 |
| Business Practice Address: | 32 College Ave Suite 206 Waterville, ME - 049016100 |
| Business Phone Number: | 2076802065 |
| Business Fax Number: | 2076802068 |
| Mailing Address: | 32 College Ave, Suite 206 WATERVILLE |
| State: | ME |
| Postal Code: | 049016100 |
| Phone Number: | 2076802065 |
| Fax Number: | 2076802068 |
| NPI Enumeration Date: | 08/11/2010 |
| NPI Last Update Date: | 08/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | XL3549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |