Basic Information
| Provider Information | |||||||||
| NPI: | 1356619670 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWARD MORAND | ||||||||
| FirstName: | DIANNE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1604 BENTON AVE | ||||||||
| Address2: | |||||||||
| City: | BENTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049013327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074534708 | ||||||||
| FaxNumber: | 2074536250 | ||||||||
| Practice Location | |||||||||
| Address1: | 8 WATER ST | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049634956 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075300880 | ||||||||
| FaxNumber: | 2074464126 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2011 | ||||||||
| LastUpdateDate: | 04/22/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | XL3882 | ME | N | Behavioral Health & Social Service Providers | Counselor | Professional | 1041C0700X | LC14608 | ME | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.