Most Relevant Information
Provider Data
| NPI Number: | 1003212945 |
| Provider Name: | JOAN REINHOLDTSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2014 |
| Last Updated: | 04/13/2021 |
Provider Practice Location
157 PARK ST
BANGOR
ME
044015093
Practice Location Phone/Fax
| Phone: | 2079920410 |
| Fax: |
Provider Mailing Location
157 PARK ST
BANGOR
ME
044015093
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |