Provider Demographics
NPI:1831300615
Name:CARRIER, VINCENT P (MS, LCPC, LADC)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:P
Last Name:CARRIER
Suffix:
Gender:M
Credentials:MS, LCPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6678
Mailing Address - Country:US
Mailing Address - Phone:207-837-7603
Mailing Address - Fax:
Practice Address - Street 1:87 ESSEX ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6678
Practice Address - Country:US
Practice Address - Phone:207-837-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health