Individual
CARLY G FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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