Individual
NICHOLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
273 MAIN ST, SUITE 4, YARMOUTH, ME 04096-6753
(207) 239-5027
Mailing address
273 MAIN ST, SUITE 4, YARMOUTH, ME 04096-6753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5774
ME
101YP2500X
Professional Counselor
Primary
CC4610
ME
Other
Enumeration date
02/28/2013
Last updated
08/31/2016
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