Individual
RYAN G CROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC
Contact information
Practice address
841 RIVERSIDE DR, AUGUSTA, ME 04330-8302
(207) 242-0795
Mailing address
548 RIVERSIDE DR APT 1, AUGUSTA, ME 04330-3855
(207) 242-0795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4687
ME
101YM0800X
Mental Health Counselor
Primary
XL4667
ME
Other
Enumeration date
12/09/2014
Last updated
06/06/2025
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