Healthcare Provider Details

I. General information

NPI: 1437076072
Provider Name (Legal Business Name): JULIA CONNER CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BANGOR ST STE 2
AUGUSTA ME
04330-4724
US

IV. Provider business mailing address

PO BOX 3
LIVERMORE FALLS ME
04254-0003
US

V. Phone/Fax

Practice location:
  • Phone: 207-320-3305
  • Fax: 207-645-2372
Mailing address:
  • Phone: 207-320-3305
  • Fax: 207-645-2372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAC9484
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: