Individual provider · Type 1 NPI

Martina Blake Gilmore Wing, CADC

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1497569388 Active

Practice location

689 Odlin Rd Ste 1
Bangor, ME 04401-6709

Mailing address

6 Flint Ln
Veazie, ME 04401-7131

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC8156 (ME)

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

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About NPI 1497569388

Martina Blake Gilmore Wing, CADC's National Provider Identifier is 1497569388, issued on Feb 3, 2025. 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 Feb 3, 2025.