Individual
MICHAEL ERIC LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
Mailing address
36 CHESTNUT ST APT 314, LEWISTON, ME 04240-8069
(207) 740-5752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5583
ME
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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