IndividualActive
Nichole Proulx, LMFT
NPI 1790910735 · Marriage & Family Therapist · Bangor, ME
Provider details
- NPI number
- 1790910735
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- XM2969 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1 College Cir
Bangor, ME 04401-2929
Phone: (207) 941-7990
Approximate (ZIP-level) locationGet directions
Mailing address
692 W Old Town Rd
Old Town, ME 04468-5715
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.