Individual
MRS. DEBRA A OUIMETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LADC, CASAC,SAP
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
Mailing address
3 IDLEWILD AVE, OLD ORCHARD BEACH, ME 04064-1917
(207) 205-7556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19061
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3363
ME
Other
Enumeration date
05/07/2007
Last updated
10/08/2015
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