Individual
JOHN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2 SPRINGBROOK DR, BIDDEFORD, ME 04005-9443
(207) 000-0000
Mailing address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 490-8500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5779
ME
Other
Enumeration date
07/29/2015
Last updated
12/01/2023
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