Individual
WILDER HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, CCS
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 621-6228
Mailing address
PO BOX 558, AUGUSTA, ME 04332-0558
(207) 626-3448
(207) 621-6228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4335
ME
Other
Enumeration date
02/09/2010
Last updated
02/02/2021
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