Provider Demographics
NPI:1699542043
Name:GALE, MEGAN N (LCPC-C)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:N
Last Name:GALE
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 LAPOINT RD
Mailing Address - Street 2:
Mailing Address - City:STETSON
Mailing Address - State:ME
Mailing Address - Zip Code:04488-3525
Mailing Address - Country:US
Mailing Address - Phone:207-296-2487
Mailing Address - Fax:
Practice Address - Street 1:160 LAPOINT RD
Practice Address - Street 2:
Practice Address - City:STETSON
Practice Address - State:ME
Practice Address - Zip Code:04488-3525
Practice Address - Country:US
Practice Address - Phone:207-296-2487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL7244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional