Individual provider · Type 1 NPI

Christopher Coose, LADC, CCS

Addiction (Substance Use Disorder) Counselor · Portland, ME

NPI number 1144451204 Active

Practice location

142 High St, Suite 416
Portland, ME 04101-2851

Fax (207) 615-0018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC1188 (ME)
Addiction (Substance Use Disorder) Counselor 101YA0400XCCS2830 (ME)

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

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About NPI 1144451204

Christopher Coose, LADC, CCS's National Provider Identifier is 1144451204, issued on Aug 6, 2009. 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 Aug 6, 2009.