Individual
MS. CHARLENE MANCHESTER BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
19 RIVER ROAD, HIRAM, ME 04041
(207) 625-3100
Mailing address
PO BOX 318, CORNISH, ME 04020
(207) 625-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC2262
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250260099
—
ME
Enumeration date
07/05/2006
Last updated
06/24/2009
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