Individual
STEPHEN ROBERT ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 773-9724
(207) 773-7386
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 773-9724
(207) 773-7386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1358
ME
1041C0700X
Clinical Social Worker
Primary
LC5492
ME
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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