Dolphin Moon Avery-grubel, LCPC-C is a 
Counselor - Professional based in Sedgwick, Maine. Dolphin Moon Avery-grubel is licensed to practice in Maine (license number XL7648) and her current practice location is 
22 Christy Hill Rd, Sedgwick, Maine. She can be reached at her office (for appointments etc.) via phone at 
(207) 747-9741.
NPI number for Dolphin Moon Avery-grubel is 1801628664 and her current mailing address is 22 Christy Hill Rd, Sedgwick, Maine. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801628664.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dolphin Moon Avery-grubel | 
|---|
| Gender | Female | 
|---|
| Speciality | Counselor - Professional | 
|---|
| Location | 22 Christy Hill Rd, Sedgwick, Maine | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1801628664
 - Provider Enumeration Date: 08/19/2024
 - Last Update Date: 08/19/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dolphin Moon Avery-grubel such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1801628664 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YP2500X | Counselor - Professional  | XL7648 (Maine) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dolphin Moon Avery-grubel is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dolphin Moon Avery-grubel, LCPC-C 22 Christy Hill Rd, Sedgwick, ME 04676-2812 Ph: (207) 747-9741 | Dolphin Moon Avery-grubel, LCPC-C 22 Christy Hill Rd, Sedgwick, ME 04676-2812 Ph: (207) 747-9741 | 
		
		 
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