MEDICARE: MS. DANIELLE RACHEL DESPLAINES MS, LCPC, CMHS

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	CC4503	ME

General Provider Information

NPI Number	:	1558682922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE RACHEL DESPLAINES MS, LCPC, CMHS

Provider Business Mailing Address
First Line	:	445 MAIN ST STE 4
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-2540
Country	:	US
Telephone Number	:	207-280-8776
Fax Number	:	207-407-7278

Provider Business Practice Location Address
First Line	:	445 MAIN ST STE 4
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-2540
Country	:	US
Telephone Number	:	207-280-8776
Fax Number	:	207-407-0442

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

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	06/09/2026

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