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Peter J. Fuller, LCSW,LADC
Addiction (Substance Use Disorder) Counselor in Springvale, Maine
NPI 1659652022

Peter J. Fuller is an Addiction (Substance Use Disorder) Counselor based in South Portland, ME and is specialized in Addiction (Substance Use Disorder). Peter J. Fuller practices in Springvale, ME and has the professional credentials of LCSW,LADC. The NPI Number for Peter J. Fuller is 1659652022 and holds a License No. LC4929 (Maine).

The current practice location address for Peter J. Fuller is 474 Main St, Springvale, ME and can be reached out via phone at 207-324-1500 and via fax at 207-490-5263.

Location: 474 Main St, Springvale, ME, 04106-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659652022
Provider Name
Peter J. Fuller
Credential
LCSW,LADC
Provider Entity Type
Individual
Gender
Male
Address
474 Main St, Springvale, ME, 04106-2316
Phone Number
207-324-1500
Fax Number
207-490-5263
Provider Enumeration Date
08/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
474 Main St
City
Springvale
State
Maine
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
person
Provider Business Mailing Address Details
Address
474 Main St
City
Springvale
State
Maine
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LC4294 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LC4929 (Maine)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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