Individual
DANIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
146 OCEAN ST STE 8, SOUTH PORTLAND, ME 04106-3664
(207) 749-0859
Mailing address
26 NOYES ST # 1, PORTLAND, ME 04103-4426
(207) 749-0859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC9048
ME
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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