| Mr Douglas L Libby Jr, MA LCPC | |
|
153 Preble Avenue, Madison, ME 04850 | |
| (207) 696-3622 | |
| Not Available |
| Full Name | Mr Douglas L Libby Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 153 Preble Avenue, Madison, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609996925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CC56 (Maine) | Primary |
| 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 Douglas L Libby Jr, MA LCPC 153 Preble Avenue, Madison, ME 04850 Ph: (207) 696-3622 | Mr Douglas L Libby Jr, MA LCPC 153 Preble Avenue, Madison, ME 04850 Ph: (207) 696-3622 |
Mr. Jeffrey Marston, TTS-C,MSPSY Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bass Rd, Madison, ME 04950 Phone: 207-431-7377 | |
Virginia E Belanger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Nichols St, Madison, ME 04950 Phone: 207-696-7267 | |
Molly M Eldredge, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Lakewood Rd, Madison, ME 04950 Phone: 207-951-0147 |