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Individual

MR. JUDD WILLIAM HUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2292
(207) 221-2297
Mailing address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2292
(207) 221-2297

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1089
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301400099
ME
Enumeration date
09/15/2006
Last updated
12/14/2010
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