Individual
STEVE DANZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
936 ROOSEVELT TRL, STE 14, WINDHAM, ME 04062-5652
(207) 893-0000
Mailing address
936 ROOSEVELT TRL, STE 14, WINDHAM, ME 04062-5652
(207) 893-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3433
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098155
ANTHEM PROVIDER #
ME
Enumeration date
05/10/2007
Last updated
07/09/2007
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