Individual
MEGAN D PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LADC, CCS
Contact information
Practice address
83 CHESTNUT ST STE 1, LEWISTON, ME 04240-7766
(207) 344-7577
Mailing address
PO BOX 2515, LEWISTON, ME 04241-2515
(207) 344-7577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5863
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC7002
ME
101YP2500X
Professional Counselor
LC7002
ME
104100000X
Social Worker
LS19860
ME
171M00000X
Case Manager/Care Coordinator
—
ME
Other
Enumeration date
12/30/2015
Last updated
02/17/2023
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