Individual
SALLY BRANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
70 KINGSLAND XING STE A, ELLSWORTH, ME 04605-2570
(207) 560-3422
Mailing address
70 KINGSLAND XING STE A, ELLSWORTH, ME 04605-2570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7147
ME
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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