Individual
CASEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 947-6800
Mailing address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 947-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6734
ME
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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