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NPI 1003971912

NPI 1003971912 : DEBBIE LYNN WEBBER MED, LCPC, NCC : BANGOR, ME

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General NPI Number Information
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    NPI Number           |    1003971912
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    Entity Type          |    Individual 
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    Provider Name        |    DEBBIE LYNN WEBBER MED, LCPC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/22/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    24 SPRINGER ROAD 1 SPRINGER PLACE SUITE 202
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    City                 |    BANGOR
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    State                |    ME
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    Zip                  |    04401
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    Country              |    US
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    Telephone            |    207-992-2535
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    Fax                  |    207-992-2539
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Provider Business Mailing Address
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    Address Line         |    556 CORINTH RD 
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    City                 |    GARLAND
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    State                |    ME
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    Zip                  |    04939-4431
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    Country              |    US
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    Telephone            |    207-285-7673
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    CC1889
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    License Number State |    ME
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