Individual
WAYNE R MUNSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, CCS
Contact information
Practice address
6 POND DR, BRUNSWICK, ME 04011-9469
(207) 408-4172
Mailing address
6 POND DR, BRUNSWICK, ME 04011-9469
(207) 408-4172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5963
ME
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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