Individual
GERALD BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
82 MAIN STREET 5B, BRIDGTON, ME 04009
(207) 205-8024
Mailing address
PO BOX 61, BRIDGTON, ME 04009
(207) 205-8024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5753
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6473
ME
Other
Enumeration date
08/24/2015
Last updated
09/20/2024
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