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 |
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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 |
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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 |