Individual
VALERIE M POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
190 BATES ST, LEWISTON, ME 04240-7329
(207) 485-9020
Mailing address
PO BOX 8102, LEWISTON, ME 04243-8102
(207) 485-9020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5227
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC5227
NEW LICENSE (ME)
ME
Enumeration date
12/22/2011
Last updated
03/06/2018
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