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NPI Code Detail

MEDICARE: MS. PAULA FROST LADC

MEDICARE: MS. PAULA FROST LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLC414ME

General Provider Information

NPI Number : 1750322475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA FROST LADC
Provider Business Mailing Address
First Line : 43 S LUBEC RD
Second Line :
City : LUBEC
State : ME
Zip : 04652-3620
Country : US
Telephone Number : 207-733-5541
Fax Number : 207-733-4767
Provider Business Practice Location Address
First Line : 43 S LUBEC RD
Second Line :
City : LUBEC
State : ME
Zip : 04652-3620
Country : US
Telephone Number : 207-733-5541
Fax Number : 207-733-4767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/14/2007

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Directions to “ MS. PAULA FROST LADC” Practice Location

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