- Practice location
- 9 Sunderland RD, Poland, ME 04274-7500
- Phone
- 207-522-9608
- Fax
- —
- Last updated
- March 4, 2024
Marissa Dodge is a Counselor, Addiction (Substance Use Disorder) based in Poland, ME. Marissa Dodge practices in Poland, ME and has the professional credentials of LADC, CCS. The NPI Number for Marissa Dodge is 1396502720 and holds a License No. LC7702 (ME). The current practice location address for Marissa Dodge is 9 Sunderland RD, Poland, ME 04274-7500 and can be reached out via phone at 207-522-9608.
Provider Profile Details
- NPI Number
- 1396502720
- Provider Name
- Marissa Dodge
- Credential
- LADC, CCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9 Sunderland RD, Poland, ME 04274-7500
- Phone Number
- 207-522-9608
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 4, 2024
- Last Update Date
- March 4, 2024
- Certification Date
- February 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Sunderland RD
Poland, ME 04274-7500 - City
- Poland
- State
- Maine
- Zip
- 04274-7500
- Phone Number
- 207-522-9608
Provider Business Mailing Address Details
- Address
- 9 Sunderland RD
Poland, ME 04274-7500 - City
- Poland
- State
- ME
- Zip
- 04274-7500
- Phone Number
- 207-522-9608
License Information
- License Number (1)
- LC7702
- License State (1)
- ME
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- CCS8524
- License State (2)
- ME
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marissa Dodge, LADC, CCS?
The NPI number of Marissa Dodge, LADC, CCS is 1396502720. It was assigned on March 4, 2024 and is currently active in the NPPES registry.
What is the specialty of Marissa Dodge, LADC, CCS?
Marissa Dodge, LADC, CCS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC7702.
Where does Marissa Dodge, LADC, CCS practice?
The practice location is 9 Sunderland RD, Poland, ME 04274-7500. The office can be reached at 207-522-9608 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396502720 directly on the NPPES registry website.