Individual
MARK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LADC, CCS
Contact information
Practice address
18 MOLLISON WAY, LEWISTON, ME 04240-5811
(207) 312-6860
Mailing address
18 MOLLISON WAY, LEWISTON, ME 04240-5811
(207) 837-2247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5002
ME
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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