Individual
THOMAS E ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
535 OCEAN AVE, STE 1, PORTLAND, ME 04103-4970
(207) 857-8282
Mailing address
535 OCEAN AVE, STE 1, PORTLAND, ME 04103-4970
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2219
ME
1041C0700X
Clinical Social Worker
Primary
LC6509
ME
Other
Enumeration date
04/18/2007
Last updated
08/30/2021
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