IndividualActive
Keith Tibbetts, LCPC
NPI 1285983262 · Professional Counselor · Hampden, ME
Provider details
- NPI number
- 1285983262
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- XL3783 (ME)
Practice location
50 Emerald Drive
Hampden, ME 04444
Phone: (207) 307-4505
Fax: (207) 941-2955
Mailing address
50 Emerald Drive
Hampden, ME 04444
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.