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Individual

LINDA ROSE WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC, CCS

Contact information

Practice address
222 SAINT JOHN ST, PORTLAND, ME 04102-3000
(207) 749-1813
Mailing address
89 VESPER ST, PORTLAND, ME 04101-4436
(207) 774-3013

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CC53895
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3364
ME

Other

Enumeration date
08/21/2008
Last updated
03/14/2018
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