Individual
MICHAEL J DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC, CCS
Contact information
Practice address
401 PETER DANA POINT ROAD, PRINCETON, ME 04668
(207) 796-2321
(207) 796-5154
Mailing address
401 PETER DANA POINT ROAD, PRINCETON, ME 04668
(207) 796-2321
(207) 796-5154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1308
ME
101YP2500X
Professional Counselor
Primary
CC919
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334750099
—
ME
Enumeration date
06/09/2008
Last updated
05/22/2019
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