Individual
DALEY LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, MHRT/C
Contact information
Practice address
420 CUMBERLAND AVE, PORTLAND, ME 04101-2823
(207) 871-7431
Mailing address
420 CUMBERLAND AVE, PORTLAND, ME 04101-2823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7447
ME
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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