Individual
EMMA BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC, CADC
Contact information
Practice address
1250 FOREST AVE STE 200, PORTLAND, ME 04103-1889
(207) 203-7933
Mailing address
1250 FOREST AVE STE 200, PORTLAND, ME 04103-1889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC9141
ME
104100000X
Social Worker
MC25688
ME
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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