person
Carol Maynard Larson, LCPC,CADC
Addiction (Substance Use Disorder) Counselor in Westbrook, Maine
NPI 1952418709

Carol Maynard Larson is an Addiction (Substance Use Disorder) Counselor based in South Portland, ME and is specialized in Addiction (Substance Use Disorder). Carol Maynard Larson practices in Westbrook, ME and has the professional credentials of LCPC,CADC. The NPI Number for Carol Maynard Larson is 1952418709 and holds a License No. CC2507 (Maine).

The current practice location address for Carol Maynard Larson is 12 Westbrook Cmn, Westbrook, ME and can be reached out via phone at 207-856-1500 and via fax at 207-856-1518.

Location: 12 Westbrook Cmn, Westbrook, ME, 04106-2316
person
Provider Profile Details
NPI Number
1952418709
Provider Name
Carol Maynard Larson
Credential
LCPC,CADC
Provider Entity Type
Individual
Gender
Female
Address
12 Westbrook Cmn, Westbrook, ME, 04106-2316
Phone Number
207-856-1500
Fax Number
207-856-1518
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432159799 05 ME
institution
Provider Business Practice Location Address Details
Address
12 Westbrook Cmn
City
State
Zip
04092-2819
Phone Number
207-856-1500
Fax Number
207-856-1518
person
Provider Business Mailing Address Details
Address
12 Westbrook Cmn
City
State
Zip
04092-2819
Phone Number
207-856-1500
Fax Number
207-856-1518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAC3744 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC2507 (Maine)
Definition
Definition to come...
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