Individual
AUDREY MARIE RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LADC
Contact information
Practice address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-2120
Mailing address
65 OAK ST, DOVER, NH 03820-2816
(207) 351-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0559
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ME 322815
ME
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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