Most Relevant Information
Provider Data
| NPI Number: | 1003393042 |
| Provider Name: | EMILY A GOODE LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2018 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
86 DAVIS RD
BANGOR
ME
044012311
Practice Location Phone/Fax
| Phone: | 2079922205 |
| Fax: | 2079922207 |
Provider Mailing Location
PO BOX 1599
BANGOR
ME
044021599
Provider Mailing Phone/Fax
| Phone: | 2074048100 |
| Fax: |