Active NPIIndividual provider

Jonathon Theall, CADC

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

NPI Number1881415651
Practice location
87 S High St, Bridgton, ME 04009-1123
Fax
—
Last updated
October 23, 2024

Jonathon Theall is a Counselor, Addiction (Substance Use Disorder) based in Bridgton, ME. Jonathon Theall practices in Bridgton, ME and has the professional credentials of CADC. The NPI Number for Jonathon Theall is 1881415651 and holds a License No. CAC8919 (ME). The current practice location address for Jonathon Theall is 87 S High St, Bridgton, ME 04009-1123 and can be reached out via phone at 207-647-5600.

Provider Profile Details

NPI Number
1881415651
Provider Name
Jonathon Theall
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
87 S High St, Bridgton, ME 04009-1123
Phone Number
207-647-5600
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2024
Last Update Date
October 23, 2024
Certification Date
October 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
87 S High St
Bridgton, ME 04009-1123
State
Maine
Zip
04009-1123
Phone Number
207-647-5600
Bridgton, ME 04009Get directions →

Provider Business Mailing Address Details

Address
87 S High St
Bridgton, ME 04009-1123
City
Bridgton
State
ME
Zip
04009-1123
Phone Number
207-647-5600

License Information

License Number
CAC8919
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 Jonathon Theall, CADC?

The NPI number of Jonathon Theall, CADC is 1881415651. It was assigned on October 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Jonathon Theall, CADC?

Jonathon Theall, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC8919.

Where does Jonathon Theall, CADC practice?

The practice location is 87 S High St, Bridgton, ME 04009-1123. The office can be reached at 207-647-5600 (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 1881415651 directly on the NPPES registry website.

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