IndividualActive
Daniel Moisan, LCPC, LADC CCS
NPI 1902149578 · Professional Counselor · Sanford, ME
Provider details
- NPI number
- 1902149578
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC, LADC CCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- CC4591 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
25 June St
Sanford, ME 04073-2621
Phone: (207) 216-0602
Approximate (ZIP-level) locationGet directions
Mailing address
39 Deerwood Rd
Wells, ME 04090-6351
Additional practice locations (1)
- 369 Main St Ste 303Springvale, ME 04083-1829Phone: (207) 216-0602
Registry dates
- Enumerated
- 2013-04-02
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.