Healthcare Provider Details

I. General information

NPI: 1598672073
Provider Name (Legal Business Name): COMMUNITY HEALTH AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 CEDAR ST
BANGOR ME
04401-6433
US

IV. Provider business mailing address

42 CEDAR ST
BANGOR ME
04401-6433
US

V. Phone/Fax

Practice location:
  • Phone: 207-922-4600
  • Fax: 207-942-9290
Mailing address:
  • Phone: 207-922-4600
  • Fax: 207-942-9290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CHUNG
Title or Position: COUNSELOR
Credential: LCPC-C
Phone: 207-561-0031