Individual
MS. MARY ROSE CALLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
32 SPURWINK LN, CORNVILLE, ME 04976-6257
(207) 858-0252
(207) 858-0276
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC862
ME
1041C0700X
Clinical Social Worker
Primary
LC3471
ME
Other
Enumeration date
08/11/2010
Last updated
05/15/2025
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