Individual
JOAN PISKURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
70 KINGSLAND XING STE A, ELLSWORTH, ME 04605-2570
(207) 835-5809
(207) 835-5809
Mailing address
PO BOX 364, ORLAND, ME 04472-0364
(207) 610-9442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6349
ME
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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