Individual
ELISA SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LSW
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC7303
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8936
ME
104100000X
Social Worker
LS16371
ME
Other
Enumeration date
03/29/2021
Last updated
03/18/2025
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