# MR. JOSEPH LAWRENCE PELLETIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659769289
- **Gender:** Man
- **Credential:** CADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAC5673 | ME | Yes |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/06/2015