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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TRISTAN OLIVER GREENLAW, LCPC

Active Sole Proprietor

MR. TRISTAN OLIVER GREENLAW, LCPC is a Professional Counselor healthcare provider located in BANGOR, Maine. NPI 1811471766 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BANGOR, ME

Registration Details

NPI Number
1811471766
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2018 (7.9162777077478 yrs)
Last Updated
Feb 8, 2024
Licenses
XL5121 (ME)
CC6591 (ME)
Sole Proprietor
Yes

Practice Information

Address
61 MAIN ST STE 62
BANGOR, ME, 044016469
Browse ME providers · Browse ZIP 04401
Phone
2079222158
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BANGOR, ME

Name Credential NPI
NAPOLEON ANDRIOPULOS LCPC 1477507614
ALLYSON N COHEN LCPC-C 1588611354
APRIL L ELDRIDGE LCPC-C 1457308934
SHARON R GREENLEAF LCPC 1407897937
ROBYN L GREENE LCPC 1205877750
APRIL MARIE TAYLOR LCPC 1710928783
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.