Individual provider · Type 1 NPI

Jane Virginia Wildman, CADC

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

NPI number 1699502377 Active

Practice location

400 Western Ave
South Portland, ME 04106-1704

Call (207) 774-7111 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC8091 (ME)

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

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About NPI 1699502377

Jane Virginia Wildman, CADC's National Provider Identifier is 1699502377, issued on Sep 17, 2024. 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 Sep 17, 2024.