Individual
MR. RICHARD MARC PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
24 DUNN STREET, AUBURN, ME 04210
(207) 784-2901
(207) 783-5134
Mailing address
24 DUNN STREET, AUBURN, ME 04210
(207) 784-2901
(207) 783-5134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4128
ME
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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