Individual
MS. LESLIE ANN HOUSE-WORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 OLD MILL RD, ELLSWORTH, ME 04605-0958
(207) 667-3210
(207) 667-1633
Mailing address
PO BOX 958, ELLSWORTH, ME 04605-0958
(207) 667-3210
(207) 667-1633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4059
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433095599
—
ME
Enumeration date
03/18/2009
Last updated
03/18/2009
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