MEDICARE: EMILY CURRIER LCPC-C

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	101YM0800X	Mental Health Counselor	XL4662	ME

General Provider Information

NPI Number	:	1619323011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CURRIER LCPC-C

Provider Business Mailing Address
First Line	:	107 CLAY HILL RD
Second Line	:
City	:	CAPE NEDDICK
State	:	ME
Zip	:	03902-7902
Country	:	US
Telephone Number	:	603-706-5375
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 CLAY HILL RD
Second Line	:
City	:	CAPE NEDDICK
State	:	ME
Zip	:	03902-7902
Country	:	US
Telephone Number	:	603-706-5375
Fax Number	:

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

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	05/04/2016

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