Individual
SHIRLEY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
98 MAIN ST, BOWDOINHAM, ME 04008-4426
(207) 666-3690
Mailing address
98 MAIN ST, BOWDOINHAM, ME 04008-4426
(207) 666-3690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC127
ME
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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