| Mr Daniel Robert Moisan, LCPC, LADC CCS | |
|
25 June St, Sanford, ME 04073-2621 | |
| (207) 216-0602 | |
| Not Available |
| Full Name | Mr Daniel Robert Moisan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 25 June St, Sanford, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902149578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC4591 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Robert Moisan, LCPC, LADC CCS 39 Deerwood Rd, Wells, ME 04090-6351 Ph: (207) 251-4050 | Mr Daniel Robert Moisan, LCPC, LADC CCS 25 June St, Sanford, ME 04073-2621 Ph: (207) 216-0602 |
Christina Tracy, LMSW-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Ruth St, Sanford, ME 04073 Phone: 207-263-3736 | |
Ms. Jessica Lynn Durgin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Farview Dr, Sanford, ME 04073 Phone: 207-432-3625 | |
Nicole Hoffman, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-569-8281 | |
Dr. Alice J Schleinderer, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Washington St, Room 304, Sanford, ME 04073 Phone: 207-324-3613 | |
Megan Walsh, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 997 Main St, Sanford, ME 04073 Phone: 207-252-6608 | |
Steven Steel Lofton, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 863 Main St, Sanford, ME 04073 Phone: 800-434-3000 | |
Jessica L Walker, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-324-4054 Fax: 207-324-4074 |