Individual provider · Type 1 NPI

Lauren S. Manchester, LADC

Addiction (Substance Use Disorder) Counselor · South Portland, ME

NPI number 1639269384 Active

Practice location

650 Main St, Suite 103
South Portland, ME 04106-5448

Fax (207) 774-0006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC2767 (ME)

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

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About NPI 1639269384

Lauren S. Manchester, LADC's National Provider Identifier is 1639269384, issued on Oct 13, 2006. 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 Jul 8, 2007.