Individual
NATHAN HOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
55 NEWELL ST, GORHAM, ME 04038-5814
(207) 619-2497
Mailing address
55 NEWELL ST, GORHAM, ME 04038-5814
(207) 619-2497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5926
ME
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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