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Individual

JOSEPH DIFONZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
17 BISHOP ST, PORTLAND, ME 04103-2659
(207) 208-9787
Mailing address
17 BISHOP ST, PORTLAND, ME 04103-2659
(207) 208-9787

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC9051
ME

Other

Enumeration date
04/01/2026
Last updated
04/01/2026
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