Individual provider · Type 1 NPI
Laurie Matson Fear, LADC
Addiction (Substance Use Disorder) Counselor · South Portland, ME
NPI number
1508377193
Active
Practice location
918 Broadway
South Portland, ME 04106-4329
Mailing address
138 Ridgeland Ave
South Portland, ME 04106-4130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6757 (ME) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CAC6240 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1508377193
Laurie Matson Fear, LADC's National Provider Identifier is 1508377193, issued on Oct 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Portland, ME. The record was last updated on Feb 5, 2020.