Individual
ROBERT A MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
19 RIVER RD, HIRAM, ME 04041-3516
(207) 935-1078
Mailing address
142 MAIN ST, BROWNFIELD, ME 04010-4707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4844
ME
Other
Enumeration date
12/23/2009
Last updated
06/13/2012
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