Individual provider · Type 1 NPI
Georgia Gale Rose, LADC
Addiction (Substance Use Disorder) Counselor · Limerick, ME
NPI number
1487859773
Active
Practice location
4 Central Ave
Limerick, ME 04048-0091
Fax (207) 793-4909
Mailing address
279 Mitchell Rd
Cape Elizabeth, ME 04107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1487859773
Georgia Gale Rose, LADC's National Provider Identifier is 1487859773, issued on Jun 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Limerick, ME. The record was last updated on Jul 8, 2007.