Individual
MARTIN JOSEPH OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MARTIN OBRIEN
Contact information
Practice address
105 MIDDLE ST, LEWISTON, ME 04240-7037
(207) 212-9258
Mailing address
105 MIDDLE ST, LEWISTON, ME 04240-7037
(207) 212-9258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4222
ME
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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