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Individual

MRS. MELISSA L LEBRUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC, CCS

Contact information

Practice address
302 COTTAGE STREET, SUITE C # 4, SANFORD, ME 04073
(207) 459-4070
Mailing address
407 WHICHERS MILLS RD, ALFRED, ME 04002-3709
(207) 432-1954

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5665
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6513
ME

Other

Enumeration date
07/05/2016
Last updated
09/17/2021
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