Individual provider · Type 1 NPI

Stacy Martin, ADCA

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1831817493 Active

Practice location

689 Odlin Rd
Bangor, ME 04401-6709

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAD8162 (ME)

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

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About NPI 1831817493

Stacy Martin, ADCA's National Provider Identifier is 1831817493, issued on Aug 19, 2022. 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 Aug 19, 2022.