Individual
MR. DANIEL ROBERT MOISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC CCS
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 216-0602
Mailing address
39 DEERWOOD RD, WELLS, ME 04090-6351
(207) 251-4050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4591
ME
Other
Enumeration date
04/02/2013
Last updated
02/20/2024
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