Individual
DANIELLE F DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
69 EAGLE DRIVE, SANFORD, ME 04073
(207) 490-4071
Mailing address
11 BAXTER BLVD FL 2, PORTLAND, ME 04101-1801
(603) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS7995
ME
101YP2500X
Professional Counselor
Primary
CC6989
ME
Other
Enumeration date
09/12/2019
Last updated
09/29/2023
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