Individual
AMY BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LADC CCS
Contact information
Practice address
315 MAIN ST STE 204, ROCKLAND, ME 04841-3388
(207) 594-4828
Mailing address
315 MAIN ST STE 204, ROCKLAND, ME 04841-3388
(207) 594-4828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC109
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104000000
—
ME
Enumeration date
10/16/2006
Last updated
08/29/2022
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