Individual
SANDRA JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
157 PARK ST STE 26, BANGOR, ME 04401-5094
(207) 450-8566
Mailing address
157 PARK ST STE 26, BANGOR, ME 04401-5094
(207) 974-8558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC7153
ME
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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