Individual
JOYCE DEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 907-7205
Mailing address
442 MOOSEHEAD TRL, NEWPORT, ME 04953-4004
(207) 907-7205
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
ME
Enumeration date
06/16/2016
Last updated
06/16/2016
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