MEDICARE: MISS MEGAN N. GALE LCPC-C

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
1	101YP2500X	Professional Counselor	XL7244	ME

General Provider Information

NPI Number	:	1699542043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEGAN N. GALE LCPC-C

Provider Business Mailing Address
First Line	:	160 LAPOINT RD
Second Line	:
City	:	STETSON
State	:	ME
Zip	:	04488-3525
Country	:	US
Telephone Number	:	207-296-2487
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 LAPOINT RD
Second Line	:
City	:	STETSON
State	:	ME
Zip	:	04488-3525
Country	:	US
Telephone Number	:	207-296-2487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2023
Last Update Date	:	12/06/2023

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