MEDICARE: CATHERINE R MIKOWSKI COUNSELING, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1033907092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE R MIKOWSKI COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	333 GROVE ST
Second Line	:
City	:	BANGOR
State	:	ME
Zip	:	04401-3963
Country	:	US
Telephone Number	:	231-645-5069
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 GROVE ST
Second Line	:
City	:	BANGOR
State	:	ME
Zip	:	04401-3963
Country	:	US
Telephone Number	:	231-645-5069
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE R MIKOWSKI
Credential	:	LCSW
Telephone Number	:	231-645-5069

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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