Individual
GEORGE STEVENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 HIGH ST, SUITE 416, PORTLAND, ME 04101-2851
(207) 780-8999
Mailing address
142 HIGH ST, SUITE 416, PORTLAND, ME 04101-2851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5635
ME
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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