IndividualActive
Brendan Wicklund
NPI 1902610017 · Addiction (Substance Use Disorder) Counselor · Bangor, ME
Provider details
- NPI number
- 1902610017
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- CAC8665 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
659 Hogan Rd
Bangor, ME 04401-3626
Phone: (207) 973-0400
Approximate (ZIP-level) locationGet directions
Mailing address
659 Hogan Rd
Bangor, ME 04401-3626
Registry dates
- Enumerated
- 2025-02-07
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.