Provider Demographics
NPI:1851830129
Name:BILODEAU, MAUREEN (LCPC-C)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:BILODEAU
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-6007
Mailing Address - Country:US
Mailing Address - Phone:207-743-8049
Mailing Address - Fax:207-739-2349
Practice Address - Street 1:35 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-6007
Practice Address - Country:US
Practice Address - Phone:207-743-8049
Practice Address - Fax:207-739-2349
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-19
Last Update Date:2017-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional