Individual
MRS. JULIE SUSAN MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
15 STATE ST, SUITE 303, BANGOR, ME 04401-5103
(207) 852-4706
Mailing address
15 STATE ST, SUITE 303, BANGOR, ME 04401-5103
(207) 852-4706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS3348
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC2227
ME
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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