Provider Demographics
NPI:1245573021
Name:MCGLAUFLIN, SELINA (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:SELINA
Middle Name:
Last Name:MCGLAUFLIN
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:ME
Mailing Address - Zip Code:04330-2825
Mailing Address - Country:US
Mailing Address - Phone:207-547-3847
Mailing Address - Fax:
Practice Address - Street 1:7 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5213
Practice Address - Country:US
Practice Address - Phone:207-621-7216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-31
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC6562101YA0400X
MEXL4112101YM0800X
MECC4848101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)