Individual
NICHOLAS LOSCOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, MHRT/C
Contact information
Practice address
42 BATH RD, WISCASSET, ME 04578-4109
(207) 882-7332
Mailing address
50 MOODY ST, SACO, ME 04072-1536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8150
ME
Other
Enumeration date
07/25/2022
Last updated
07/27/2022
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