Individual
RUSSELL E KOHRS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
24 DUNN ST, AUBURN, ME 04210-6821
(207) 782-5187
Mailing address
24 DUNN ST, AUBURN, ME 04210-6821
(207) 782-5187
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CAC6140
ME
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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