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NPI Code Detail

MEDICARE: ANGELA MARIE BLIER LCPC, LADC, CCS

MEDICARE: ANGELA MARIE BLIER LCPC, LADC, CCS
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
1101YP2500XProfessional CounselorCC31325ME
2101YA0400XAddiction (Substance Use Disorder) CounselorLC3000ME
3101YM0800XMental Health CounselorME288949ME

General Provider Information

NPI Number : 1588732515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE BLIER LCPC, LADC, CCS
Provider Business Mailing Address
First Line : 1155 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5025
Country : US
Telephone Number : 207-871-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1155 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5025
Country : US
Telephone Number : 207-871-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 09/26/2025

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