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Individual

GUY JOSEPH GOSSELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LADC, CCS

Contact information

Practice address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 294-8695
Mailing address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 294-8695

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC19811
ME
1041C0700X
Clinical Social Worker
Primary
LC4074
ME

Other

Enumeration date
12/08/2010
Last updated
08/25/2022
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