Provider Demographics
NPI:1487802013
Name:FINUCANE, RICQUE V (CC3634)
Entity type:Individual
Prefix:
First Name:RICQUE
Middle Name:V
Last Name:FINUCANE
Suffix:
Gender:F
Credentials:CC3634
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WINDY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:BOWDOINHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04008-4474
Mailing Address - Country:US
Mailing Address - Phone:207-402-5576
Mailing Address - Fax:
Practice Address - Street 1:37 WINDY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:BOWDOINHAM
Practice Address - State:ME
Practice Address - Zip Code:04008-4474
Practice Address - Country:US
Practice Address - Phone:207-402-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3634101YP2500X
MECAC4211101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)