Individual
MR. DEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC LADC
Contact information
Practice address
2 BEECH ST, HALLOWELL, ME 04347-1518
(207) 530-1376
Mailing address
2 MARTIN DR, FARMINGDALE, ME 04344-4656
(207) 530-1376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4578
ME
101YP2500X
Professional Counselor
Primary
CC4614
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CC4614
—
ME
Enumeration date
08/15/2016
Last updated
01/08/2017
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