Individual
OLIVIA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
91 AUBURN ST STE J, PORTLAND, ME 04103-6014
(207) 650-6670
Mailing address
91 AUBURN ST STE J, PORTLAND, ME 04103-6014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7422
ME
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
03/20/2021
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