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NPI Code Detail

MEDICARE: ANGELA L. HALEY LCPC

MEDICARE:   ANGELA L. HALEY  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCC4055ME

General Provider Information

NPI Number : 1568714343
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA L. HALEY LCPC
Provider Business Mailing Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number : 207-973-6109
Provider Business Practice Location Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number : 207-973-6109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2012
Last Update Date : 03/06/2026

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Directions to “ ANGELA L. HALEY LCPC” Practice Location

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