Individual
MR. GREGORY C. ROMANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.ED. LADC CCS
Contact information
Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 774-7111
(207) 775-1985
Mailing address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 774-7111
(207) 775-1985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCS2832
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2417
ME
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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