Individual
TIA MARIE POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
166 NEW COUNTY RD, ROCKLAND, ME 04841-5320
(207) 596-0312
(207) 596-0319
Mailing address
166 NEW COUNTY RD, ROCKLAND, ME 04841-5320
(207) 596-0312
(207) 596-0319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4776
ME
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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