Organization · Type 2 NPI
Soul Sanctuary, LLC
Addiction (Substance Use Disorder) Counselor · Portland, ME
NPI number
1003557943
Active
Practice location
1519 Forest Ave
Portland, ME 04103-1805
Mailing address
22 Redlon Rd
Portland, ME 04102-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003557943
Soul Sanctuary, LLC's National Provider Identifier is 1003557943, issued on Apr 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, ME. The record was last updated on Apr 5, 2022.