Individual
MELANIE HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 810-2367
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 810-2367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8912
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
1041C0700X
Clinical Social Worker
Primary
LC20073
ME
Other
Enumeration date
02/14/2014
Last updated
01/27/2025
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