Individual
AUTUMN MARIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LEHNER RD, SACO, ME 04072-1836
(207) 300-2471
(207) 692-0222
Mailing address
2 LEHNER RD, SACO, ME 04072-1836
(207) 300-2471
(207) 692-0222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADCA7814
ME
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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