Individual provider · Type 1 NPI

Lisa Davis, LADC, CCS

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1134760226 Active

Practice location

659 Hogan Rd
Bangor, ME 04401-3626

Fax (207) 973-1881

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLD4779 (ME)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134760226

Lisa Davis, LADC, CCS's National Provider Identifier is 1134760226, issued on Oct 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bangor, ME. The record was last updated on Oct 1, 2019.