Individual
LINDA ROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
501 CUMBERLAND AVE, PORTLAND, ME 04101-2210
(207) 553-5855
Mailing address
501 CUMBERLAND AVE, PORTLAND, ME 04101-2210
(207) 553-5855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LS5165
ME
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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