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Individual

DANIELLE RIDEOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LADC, CCS

Contact information

Practice address
24 BOWDOIN ST, YARMOUTH, ME 04096-8325
(207) 329-2267
Mailing address
24 BOWDOIN ST, YARMOUTH, ME 04096-8325
(207) 329-2267

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS6378
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5600
ME
101YM0800X
Mental Health Counselor
CC8296
ME

Other

Enumeration date
03/20/2013
Last updated
04/07/2026
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