OLIVER GILCHRIST BRADEEN LCPC NPI 1306518063

NPI Information

NPI: 1306518063
Provider Name: OLIVER GILCHRIST BRADEEN, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
65 INDIA ST
PORTLAND, ME
ZIP 04101
Phone: (207) 775-4790
Get Directions

Oliver Gilchrist Bradeen, LCPC is a professional counselor in Portland, ME. Oliver Gilchrist Bradeen, LCPC NPI is 1306518063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

65 INDIA ST
PORTLAND, ME
ZIP 04101-209
Phone: (207) 775-4790
Fax: (207) 775-5231

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	CC5194	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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