Individual
JASON LUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 HAMMOND ST, BANGOR, ME 04401-4610
(207) 941-1600
Mailing address
265 HAMMOND ST, BANGOR, ME 04401-4610
(207) 941-1600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8078
ME
Other
Enumeration date
07/09/2024
Last updated
07/17/2024
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