Provider Demographics
NPI:1356619670
Name:HOWARD MORAND, DIANNE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:MARIE
Last Name:HOWARD MORAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 BENTON AVE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:ME
Mailing Address - Zip Code:04901-3327
Mailing Address - Country:US
Mailing Address - Phone:207-453-4708
Mailing Address - Fax:207-453-6250
Practice Address - Street 1:8 WATER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4956
Practice Address - Country:US
Practice Address - Phone:207-530-0880
Practice Address - Fax:207-446-4126
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3882101YP2500X
MELC146081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional