Individual
ANNE M LEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
50 BOYNTON ST, EASTPORT, ME 04631-1204
(207) 853-6001
Mailing address
17 PLEASANT ST, EASTPORT, ME 04631-1631
(207) 217-8620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4313
ME
101YP2500X
Professional Counselor
Primary
CC2603
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404560099
—
ME
Enumeration date
03/23/2007
Last updated
06/29/2021
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