Individual
EDWARD L. SHAROOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC-C, CADA, DEEP
Contact information
Practice address
1662 POST RD BLDG 2, WELLS, ME 04090-4638
(207) 494-3900
Mailing address
19 HOLLAND RD, KENNEBUNK, ME 04043-6296
(207) 494-3900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC6966
ME
101YM0800X
Mental Health Counselor
XL5297
ME
101YP2500X
Professional Counselor
Primary
XL5296
ME
Other
Enumeration date
09/23/2019
Last updated
01/19/2021
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