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NPI Code Detail

MEDICARE: MEREDITH GRACE MORGAN LCPC-C

MEDICARE:   MEREDITH GRACE MORGAN  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
1101YM0800XMental Health CounselorXL3831ME

General Provider Information

NPI Number : 1740569003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH GRACE MORGAN LCPC-C
Provider Business Mailing Address
First Line : 1295 ATLANTIC HWY
Second Line :
City : NORTHPORT
State : ME
Zip : 04849-3600
Country : US
Telephone Number : 207-322-3642
Fax Number :
Provider Business Practice Location Address
First Line : 1295 ATLANTIC HWY
Second Line :
City : NORTHPORT
State : ME
Zip : 04849-3600
Country : US
Telephone Number : 207-322-3642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/04/2011

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Directions to “ MEREDITH GRACE MORGAN LCPC-C” Practice Location

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