Individual
MRS. LISE M CARRIER-PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
444 MAIN STREET, LEWISTON, ME 04240-0000
(207) 754-4050
Mailing address
54 MOODY RD, LISBON, ME 04250-6000
(207) 353-5522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC238
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431625699
—
ME
Enumeration date
12/13/2006
Last updated
02/12/2009
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