Provider Demographics
NPI:1194130146
Name:HASSENPFLUG, ANGELA (LCPC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HASSENPFLUG
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 JORDAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1615
Mailing Address - Country:US
Mailing Address - Phone:207-592-7888
Mailing Address - Fax:
Practice Address - Street 1:39 RIVER RD
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553-3802
Practice Address - Country:US
Practice Address - Phone:207-592-7888
Practice Address - Fax:603-768-1521
Is Sole Proprietor?:No
Enumeration Date:2014-06-29
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4823101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional