Individual provider · Type 1 NPI

Jeremy Matthew Crockett, CADC

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1780986315 Active

Practice location

629 Main St
Bangor, ME 04401-6848

Call (207) 990-2870 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC4227 (ME)

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

9 other providers at this address

Other addiction (substance use disorder) counselor providers in Bangor

See all in Bangor →

About NPI 1780986315

Jeremy Matthew Crockett, CADC's National Provider Identifier is 1780986315, issued on Dec 2, 2010. 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 Dec 2, 2010.