Individual
MS. MARY ALEXANDER MONCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
52 PLEASANT HILL DR, WATERVILLE, ME 04901-4105
(207) 350-5673
Mailing address
52 PLEASANT HILL DR, WATERVILLE, ME 04901-4105
(207) 350-5673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000351
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6119
ME
Other
Enumeration date
03/08/2007
Last updated
02/03/2017
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