Individual
DANIEL EDWARD PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC/CCS
Contact information
Practice address
4 PARK ST, SUITE 1, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Mailing address
4 PARK ST, SUITE 1, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1092
ME
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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