Individual
CARRIE STACKPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
64 KENNEBEC ST, FAIRFIELD, ME 04937-3460
(207) 877-4381
Mailing address
64 KENNEBEC ST, FAIRFIELD, ME 04937-3460
(207) 877-4381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCS8505
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7985
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
07/28/2021
Last updated
05/09/2025
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