Individual
DOROTHY MUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC CCS
Contact information
Practice address
52 MAIN ST, LINCOLN, ME 04457-1458
(207) 794-6166
(207) 794-6166
Mailing address
52 MAIN ST, LINCOLN, ME 04457-1458
(207) 794-6166
(207) 794-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3947
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432564499
—
ME
Enumeration date
12/08/2009
Last updated
11/25/2014
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