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Individual

MR. JAMES E HEINTZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, LADC

Contact information

Practice address
110 AUBURN ST, PORTLAND, ME 04103-2128
(207) 807-9210
Mailing address
280 PARK RD, WESTBROOK, ME 04092-3142
(207) 807-9210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4379
ME
101YM0800X
Mental Health Counselor
Primary
CC3560
ME

Other

Enumeration date
08/03/2009
Last updated
08/03/2021
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