Individual
GEOFFREY B BERMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2292
Mailing address
544 OCEAN AVE, PORTLAND, ME 04103-4957
(203) 904-4349
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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