Individual
MRS. BRANDI MASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
105 MIDDLE ST, SUITE 1, LEWISTON, ME 04240-7037
(207) 795-0149
Mailing address
53 GEORGE ST, PORTLAND, ME 04103-4602
(207) 210-0148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH605962
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA606205
ME
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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