Individual
NICOLE STASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, CCS
Contact information
Practice address
28 PEARL ST STE 115, BIDDEFORD, ME 04005-4239
(908) 635-7815
Mailing address
28 PEARL ST STE 115, BIDDEFORD, ME 04005-4239
(908) 635-7815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
02/07/2023
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