Healthcare Provider Details

I. General information

NPI: 1699582221
Provider Name (Legal Business Name): FELICIA MCARTHUR CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 MAIN ST
CANAAN ME
04924-3407
US

IV. Provider business mailing address

32 WELLNESS WAY
CORNVILLE ME
04976
US

V. Phone/Fax

Practice location:
  • Phone: 207-474-9612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAC8856
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: