Provider Demographics
NPI:1124205224
Name:OBRIEN, MARGARET ALICE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ALICE
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 FLINTLOCK VILLAGE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-5327
Mailing Address - Country:US
Mailing Address - Phone:207-251-4027
Mailing Address - Fax:801-846-8396
Practice Address - Street 1:43 SANFORD ROAD
Practice Address - Street 2:THE PROFESSIONAL CENTER
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-5327
Practice Address - Country:US
Practice Address - Phone:207-646-8391
Practice Address - Fax:801-846-8396
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3024101Y00000X
MA3015042104100000X
MA867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist