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Individual

MICHELLE CRATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, CCS

Contact information

Practice address
27 STATE ST STE 51, BANGOR, ME 04401-5113
(207) 356-1455
Mailing address
1620 N MAIN ST, WINTERPORT, ME 04496-3804
(207) 356-1455

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5704
ME

Other

Enumeration date
01/23/2018
Last updated
11/29/2018
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