Kelly Katherine Bumiller, LCPC
Counselor, Mental Health in Brunswick, ME. Individual provider (NPI-1).
NPI number1609336544
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1609336544
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly Katherine Bumiller
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2019
- Last updated
- Aug 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CC5235 | ME | Yes |
Practice location
6 Cumberland StBrunswick, ME 04011-1904
Phone 207-798-9281
Mailing address
6 Cumberland StBrunswick, ME 04011-1904
Phone 207-798-9281
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