Individual
MS. NANCI DAWN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
8 SUMMER ST, AUGUSTA, ME 04330-5129
(207) 557-2509
Mailing address
PO BOX 5661, AUGUSTA, ME 04332-5661
(207) 557-2509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5425
ME
101YM0800X
Mental Health Counselor
Primary
MHRT2
ME
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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