Provider Demographics
NPI:1942209739
Name:ALGEE, ALAN (LCPC, CCS)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:ALGEE
Suffix:
Gender:M
Credentials:LCPC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4511
Mailing Address - Country:US
Mailing Address - Phone:207-973-0505
Mailing Address - Fax:207-992-2175
Practice Address - Street 1:557 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4511
Practice Address - Country:US
Practice Address - Phone:207-973-0505
Practice Address - Fax:207-992-2175
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3108101YP2500X
MECAC3322101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME429880000Medicaid