Provider Demographics
NPI:1548491251
Name:RINES, NANCY G (PSY EXAMINER/LCPC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:RINES
Suffix:
Gender:F
Credentials:PSY EXAMINER/LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:SOUTH GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04359-0068
Mailing Address - Country:US
Mailing Address - Phone:207-582-1844
Mailing Address - Fax:207-582-1844
Practice Address - Street 1:21 MEADOW RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4941
Practice Address - Country:US
Practice Address - Phone:207-622-3300
Practice Address - Fax:207-622-3300
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional