Individual
AMANDA MOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2292
Mailing address
290B GRAY RD, WINDHAM, ME 04062-4284
(207) 523-2837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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