Individual
MACKENZIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CADC
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC9171
ME
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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