Individual
MR. DOUGLAS ANDREW COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC
Contact information
Practice address
131 SPRING ST., PORTLAND, ME 04101
(207) 650-2632
(207) 767-0995
Mailing address
P.O. BOX 4693, PORTLAND, ME 04112
(207) 650-2632
(207) 767-0995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC3002
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3002
ME
101YM0800X
Mental Health Counselor
Primary
CC2708
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432729499
—
ME
Enumeration date
10/14/2009
Last updated
10/31/2013
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