Individual
MR. DAVID NORMAN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A. C.A.D.C.
Contact information
Practice address
4 PARK ST, 2ND FLOOR, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Mailing address
4 PARK ST, 2ND FLOOR, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4504
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435422099
—
ME
01
—
CAC4504
CERTIFIED ALCOHOL AND DRUG COUNSELOR
ME
01
—
MHRT-C
MENTAL HEALTH REHABILITATION TECH - C
—
Enumeration date
04/07/2010
Last updated
04/07/2010
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