Individual
MR. THOMAS LOUIS MCWALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
60 FRONT ST, WATERVILLE, ME 04901-6658
(207) 649-1762
Mailing address
138 HUNT RD, THORNDIKE, ME 04986-3147
(207) 649-1762
(207) 568-3676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC20
ME
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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