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Individual

BRANDIN TURNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
659 PARK ST, SOUTH PARIS, ME 04281-6438
(207) 739-2644
Mailing address
PO BOX 186, SOUTH GARDINER, ME 04359-0186
(207) 446-8207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC3135
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3946
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431875699
ME
Enumeration date
05/26/2006
Last updated
09/25/2012
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