Provider Demographics
NPI:1962524934
Name:DUNCAN-DEAN, CAROL-ANN (LCPC)
Entity type:Individual
Prefix:MRS
First Name:CAROL-ANN
Middle Name:
Last Name:DUNCAN-DEAN
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 1:27 STATE ST
Mailing Address - Street 2:SUITE 62
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5113
Mailing Address - Country:US
Mailing Address - Phone:207-692-0246
Mailing Address - Fax:
Practice Address - Street 1:27 STATE ST
Practice Address - Street 2:SUITE 62
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5113
Practice Address - Country:US
Practice Address - Phone:207-692-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health