Individual
PAULO DANIEL BRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC LCCS
Contact information
Practice address
110 TANDBERG TRAIL, RTE 115, WINDHAM, ME 04062
(207) 899-5534
(207) 642-4956
Mailing address
190 BOUNDARY RD, STANDISH, ME 04084
(207) 642-4956
(207) 642-4956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS3217
ME
101YM0800X
Mental Health Counselor
Primary
CC1296
ME
101YM0800X
Mental Health Counselor
LCPC1296
ME
Other
Enumeration date
07/02/2006
Last updated
03/11/2008
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