Individual
RACHAEL ANN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
510 MAIN ST STE 112, GORHAM, ME 04038-1339
(207) 939-3295
Mailing address
88 STATE ST STE 201, GORHAM, ME 04038-1015
(207) 671-7414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4075
ME
1041C0700X
Clinical Social Worker
Primary
LC11662
ME
Other
Enumeration date
12/11/2006
Last updated
10/16/2023
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