Individual
RANDI-ANNE BRUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, CCS
Contact information
Practice address
17 BISHOP ST, PORTLAND, ME 04103-2659
(207) 523-9298
Mailing address
14 MAINE ST, STE 205, BRUNSWICK, ME 04011-2026
(207) 798-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4635
ME
1041C0700X
Clinical Social Worker
Primary
LC12473
ME
Other
Enumeration date
09/23/2010
Last updated
02/03/2020
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