Individual
MS. RENEE TASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 DOWD RD, BANGOR, ME 04401-6700
(207) 947-6800
(207) 947-6872
Mailing address
103 DOORE RD, DOVER FOXCROFT, ME 04426-3224
(207) 343-1998
(207) 947-6872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3934
ME
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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