Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CAC7551 | ME |
N | 104100000X | Social Worker | LSX10764 | ME |
NPI | 1003061201 |
---|---|
Provider Name | Valerie Anne Feldkamp |
First Address | Ellsworth, ME 04605-0297 |
Second Address | Ellsworth, ME 04605-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 09/06/2021 |