Individual
JODY L CYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC,CCS
Contact information
Practice address
435 W AUBURN RD, AUBURN, ME 04210-8506
(207) 513-8946
Mailing address
435 W AUBURN RD, AUBURN, ME 04210-8506
(207) 513-8946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4104
ME
1041C0700X
Clinical Social Worker
Primary
LC11524
ME
Other
Enumeration date
08/31/2006
Last updated
04/07/2022
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