NPI 1003396037

Brandon L Ouellette, LCPCC

Practitioner Counselor Scarborough, ME

Practice location

Address: 71 US Route 1 STE G, Scarborough, ME 04074-7174
Phone: (207) 774-3570
Mailing address: 9 Carrier Wood Rd APT 70, Scarborough, ME 04074-7190

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence XL5091 (ME)

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Registry record

NPI: 1003396037
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2018
Record last updated: 20 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.