institution
Food Addiction Chemical Dependency Consultants Llc
Mental Health Counselor in So Portland, Maine
NPI 1881627958

Food Addiction Chemical Dependency Consultants Llc is a Mental Health Counselor based in So Portland, ME and is specialized in Mental Health. Food Addiction Chemical Dependency Consultants Llc practices in So Portland, ME. The NPI Number for Food Addiction Chemical Dependency Consultants Llc is 1881627958 and holds a License No. 22146 (Maine).

The current practice location address for Food Addiction Chemical Dependency Consultants Llc is 650 Main St, So Portland, ME and can be reached out via phone at 207-774-4564 and via fax at 207-774-0006.

Location: 650 Main St, So Portland, ME, 04106
institution
Provider Profile Details
NPI Number
1881627958
Provider Name
Food Addiction Chemical Dependency Consultants Llc
Credential
Provider Entity Type
Organization
Address
650 Main St, So Portland, ME, 04106
Phone Number
207-774-4564
Fax Number
207-774-0006
Provider Enumeration Date
07/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126240100 05 ME
institution
Provider Business Practice Location Address Details
Address
650 Main St
City
State
Zip
04106
Phone Number
207-774-4564
Fax Number
207-774-0006
person
Provider Business Mailing Address Details
Address
650 Main St
City
State
Zip
04106
Phone Number
207-774-4564
Fax Number
207-774-0006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
454002 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22146 (Maine)
Definition
Definition to come...
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