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MS. INNA LVOVNA BEZBORODKO DPSY CAS LCPC

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1942403167

Provider Information:
MS. INNA LVOVNA BEZBORODKO DPSY CAS LCPC
Gender: F
Sole Proprietor

Practice Location:
417 MAIN ST SUITE 201 ROCKLAND, ME 04841 US
Tel: 207-594-8826  Fax: 207-594-8826

Business Mailing Address:
PO BOX 456  ROCKLAND, ME 04841 US
Tel: 207-594-8826  Fax: 207-594-8826

NPI Information:
NPI: 1942403167
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
MECC1302

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BCBS045031ME01



American Medical Association 2012 taxonomy code information

Code: 101YM0800X

Type:

Classification:



Definition:



MEDICAL JOBS ME - Page 1

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