Individual
MICHAEL ROBERT ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
461 EAST AVE, LEWISTON, ME 04240-4044
(207) 782-3386
Mailing address
461 EAST AVE, LEWISTON, ME 04240-4044
(207) 782-3386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4788
ME
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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