Individual
RYAN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC6221
Contact information
Practice address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
(207) 945-7765
Mailing address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
(207) 945-7765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6221
ME
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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