Individual provider · Type 1 NPI
Maxine Wolph-Johnson
Addiction (Substance Use Disorder) Counselor · Waterville, ME
NPI number
1194964114
Active
Practice location
18 Common St
Waterville, ME 04901-6678
Fax (207) 696-4211
Mailing address
PO Box 288
Anson, ME 04911-0288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LC122 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1194964114
Maxine Wolph-Johnson's National Provider Identifier is 1194964114, issued on Feb 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterville, ME. The record was last updated on Feb 14, 2009.