Individual
BRENT AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
98 CUMBERLAND ST, BANGOR, ME 04401-5234
(207) 941-1612
Mailing address
98 CUMBERLAND ST, BANGOR, ME 04401-5234
(207) 941-1612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5436
ME
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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