person
Maxine Wolph-johnson
Addiction (Substance Use Disorder) Counselor in Waterville, Maine
NPI 1194964114

Maxine Wolph-johnson is an Addiction (Substance Use Disorder) Counselor based in Anson, ME and is specialized in Addiction (Substance Use Disorder). Maxine Wolph-johnson practices in Waterville, ME. The NPI Number for Maxine Wolph-johnson is 1194964114 and holds a License No. LC122 (Maine).

The current practice location address for Maxine Wolph-johnson is 18 Common St, Waterville, ME and can be reached out via phone at 207-696-4225 and via fax at 207-696-4211.

Location: 18 Common St, Waterville, ME, 04911-0288
person
Provider Profile Details
NPI Number
1194964114
Provider Name
Maxine Wolph-johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 Common St, Waterville, ME, 04911-0288
Phone Number
207-696-4225
Fax Number
207-696-4211
Provider Enumeration Date
02/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431821099 05 ME
institution
Provider Business Practice Location Address Details
Address
18 Common St
City
State
Zip
04901-6678
Phone Number
207-696-4225
Fax Number
207-696-4211
person
Provider Business Mailing Address Details
Address
18 Common St
City
State
Zip
04901-6678
Phone Number
207-696-4225
Fax Number
207-696-4211
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC122 (Maine)
Definition
Definition to come...
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