Individual
BRAD DEVINCENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW-C,CADC,MHRTC,BHP
Contact information
Practice address
7 PROSPECT ST, CARIBOU, ME 04736-2466
(207) 492-1000
(207) 492-1006
Mailing address
7 PROSPECT ST, CARIBOU, ME 04736-2466
(207) 492-1000
(207) 492-1006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC7807
ME
104100000X
Social Worker
Primary
LSX20674
ME
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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