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Individual

MR. A. HUGHES KRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
440 FOREST AVE, PORTLAND, ME 04101-2015
(207) 774-0110
Mailing address
440 FOREST AVE, PORTLAND, ME 04101-2015
(207) 774-0110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1147
ME
101YP2500X
Professional Counselor
Primary
CC1272
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144850000
ME
Enumeration date
04/04/2006
Last updated
09/02/2010
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