Individual provider · Type 1 NPI
Amanda Marie Place, LADC
Addiction (Substance Use Disorder) Counselor · Portland, ME
NPI number
1356992499
Active
Practice location
499 Stevens Ave
Portland, ME 04103-2678
Mailing address
541 Brighton Ave # A
Portland, ME 04102-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC6519 (ME) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LC7416 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1356992499
Amanda Marie Place, LADC's National Provider Identifier is 1356992499, issued on Sep 20, 2019. 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 Nov 23, 2021.