Active NPIIndividual provider

Edward Burgess Jr., CADC

Counselor, Addiction (Substance Use Disorder) in Lewiston, Maine

NPI Number1508313321
Practice location
1525 Lisbon St, Lewiston, ME 04240-3515
Fax
207-241-8318
Last updated
September 9, 2016

Edward Burgess is a Counselor, Addiction (Substance Use Disorder) based in Lewiston, ME. Edward Burgess practices in Lewiston, ME and has the professional credentials of CADC. The NPI Number for Edward Burgess is 1508313321 and holds a License No. cac5865 (ME). The current practice location address for Edward Burgess is 1525 Lisbon St, Lewiston, ME 04240-3515 and can be reached out via phone at 207-241-7959 and via fax at 207-241-8318.

Provider Profile Details

NPI Number
1508313321
Provider Name
Edward Burgess
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
1525 Lisbon St, Lewiston, ME 04240-3515
Phone Number
207-241-7959
Fax Number
207-241-8318
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2016
Last Update Date
September 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1525 Lisbon St
Lewiston, ME 04240-3515
State
Maine
Zip
04240-3515
Phone Number
207-241-7959
Fax Number
207-241-8318
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
1525 Lisbon St
Lewiston, ME 04240-3515
City
Lewiston
State
ME
Zip
04240-3515
Phone Number
207-241-7959
Fax Number
207-241-8318

License Information

License Number
cac5865
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Edward Burgess Jr., CADC?

The NPI number of Edward Burgess Jr., CADC is 1508313321. It was assigned on September 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Edward Burgess Jr., CADC?

Edward Burgess Jr., CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number cac5865.

Where does Edward Burgess Jr., CADC practice?

The practice location is 1525 Lisbon St, Lewiston, ME 04240-3515. The office can be reached at 207-241-7959 (phone) or 207-241-8318 (fax).

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 1508313321 directly on the NPPES registry website.

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