Individual
MISS LINNEA JAN PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, MSW
Contact information
Practice address
24 VERMONT AVE, PORTLAND, ME 04103-3921
(207) 253-5053
Mailing address
24 VERMONT AVE, PORTLAND, ME 04103-3921
(207) 253-5053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3915
ME
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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