Individual
GARY D. MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC184
ME
163W00000X
Registered Nurse
RN27793
ME
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS84088
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269560099
—
ME
Enumeration date
08/05/2006
Last updated
09/24/2012
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