Individual
SARA RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
(207) 945-7765
Mailing address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8769
ME
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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