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-- DEBORAH J BAILLY -- LADC, CCS, LCSW

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1790916898
Provider Type
Individual Provider (NPI-1)
Credentials
LADC, CCS, LCSW
Status
Active

Contact & Location

Address
253-255 HAMMOND ST., BANGOR, ME, 04401
Phone
(207) 941-1612
Fax
(207) 941-1634

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: ME #LC1261
Counselor, Addiction (Substance Use Disorder) License: ME #CCS3171
Counselor, Mental Health License: ME #LC5073

All Addresses

MAILING

98 CUMBERLAND ST

BANGOR, ME, 044015234

LOCATION

253-255 HAMMOND ST.

BANGOR, ME, 04401

(207) 941-1612