Most Relevant Information
Provider Data
| NPI Number: | 1003458613 |
| Provider Name: | BETH COTTRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | CC5830 |
Most Important Dates
| Enumeration Date: | 10/15/2019 |
| Last Updated: | 01/25/2023 |
Provider Practice Location
444 STILLWATER AVE STE 104
BANGOR
ME
044013500
Practice Location Phone/Fax
| Phone: | 2076596510 |
| Fax: |
Provider Mailing Location
261 WOODLAND AVE
OLD TOWN
ME
044685925
Provider Mailing Phone/Fax
| Phone: | 2073565478 |
| Fax: |