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Contact Information

AMY M BURRELL, LCPC
16 KIDSPEACE WAY
ELLSWORTH, ME04605-0787
 Phone: 207-667-0909
 Fax: 207-667-6348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for AMY M BURRELL · (Female)

NPI Number 1346454758
Status Active
Credentials LCPC (Licensed Clinical Professional Counselor)
Entity Individual
Enumeration date 05/09/2007
Last updated 02/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CC3230
  • ME Medicaid 432560699
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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