Individual
JEREMY ISAAC HILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
276 MAIN ST, LEWISTON, ME 04240-7024
(207) 782-3396
Mailing address
276 MAIN ST, LEWISTON, ME 04240-7024
(207) 782-3396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8924060
ME
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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