Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
27 BIRDSEYE AVE, CARIBOU, ME 04736-1620
(207) 492-1653
Mailing address
PO BOX 509, PRESQUE ISLE, ME 04769-0509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5970
ME
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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