person
Mr. Tristan Oliver Greenlaw, LCPC
Professional Counselor in Bangor, Maine
NPI 1811471766

Tristan Oliver Greenlaw is a Professional Counselor based in Bangor, ME and is specialized in Professional. Tristan Oliver Greenlaw practices in Bangor, ME and has the professional credentials of LCPC. The NPI Number for Tristan Oliver Greenlaw is 1811471766 and holds a License No. XL5121 (Maine).

The current practice location address for Tristan Oliver Greenlaw is 61 Main St Ste 62, Bangor, ME and can be reached out via phone at 207-922-2158. You can also correspond with Tristan Oliver Greenlaw through the mailing address at 155 COURT ST, BANGOR, ME - 04401-4725 (mailing address contact number: 207-922-7572).

Location: 61 Main St Ste 62, Bangor, ME, 04401-4725
person
Provider Profile Details
NPI Number
1811471766
Provider Name
Tristan Oliver Greenlaw
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
61 Main St Ste 62, Bangor, ME, 04401-4725
Phone Number
207-922-2158
Fax Number
Provider Enumeration Date
09/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
61 Main St Ste 62
City
State
Zip
04401-6469
Phone Number
207-922-2158
Fax Number
person
Provider Business Mailing Address Details
Address
61 Main St Ste 62
City
State
Zip
04401-6469
Phone Number
207-922-2158
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC6591 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
XL5121 (Maine)
Definition
Definition to come...
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