Individual provider · Type 1 NPI

Myles Peter Ouellette, LADC, CCS

Addiction (Substance Use Disorder) Counselor · Van Buren, ME

NPI number 1508188517 Active

Practice location

200 Champlain St
Van Buren, ME 04785-1396

Mailing address

PO Box 415
Van Buren, ME 04785-0415

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XX#MT3349 (ME)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCCS7269 (ME)

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

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About NPI 1508188517

Myles Peter Ouellette, LADC, CCS's National Provider Identifier is 1508188517, issued on Feb 17, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Buren, ME. The record was last updated on Jun 7, 2023.