Individual provider · Type 1 NPI

Kenneth Sanborn

Addiction (Substance Use Disorder) Counselor · Rumford, ME

NPI number 1821373747 Active

Practice location

49 Congress St
Rumford, ME 04276-2014

Mailing address

1155 Lisbon St
Lewiston, ME 04240-5025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC5021 (ME)

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

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About NPI 1821373747

Kenneth Sanborn's National Provider Identifier is 1821373747, issued on Oct 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rumford, ME. The record was last updated on Oct 12, 2011.