Provider Demographics
NPI:1912007519
Name:CLUKEY, FRANCES HARLOW (PHD RATH LCPC)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:HARLOW
Last Name:CLUKEY
Suffix:
Gender:F
Credentials:PHD RATH LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 STATE ST
Mailing Address - Street 2:SUITE 41
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5113
Mailing Address - Country:US
Mailing Address - Phone:207-944-9669
Mailing Address - Fax:
Practice Address - Street 1:27 STATE ST
Practice Address - Street 2:SUITE 41
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5113
Practice Address - Country:US
Practice Address - Phone:207-944-9669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional