Provider Demographics
NPI:1811206592
Name:MARLOWE, DANIEL PAUL (LCPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PAUL
Last Name:MARLOWE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:510 CUMBERLAND AVE
Mailing Address - Street 2:PROP CHILD AND FAMILY SERVICE
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-2220
Mailing Address - Country:US
Mailing Address - Phone:207-553-5822
Mailing Address - Fax:207-780-9823
Practice Address - Street 1:215 CONGRESS ST
Practice Address - Street 2:PROP CHILD AND FAMILY SERVICE -EAST END
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3621
Practice Address - Country:US
Practice Address - Phone:207-553-5822
Practice Address - Fax:207-780-9823
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECC3451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431757499Medicaid