Healthcare Provider Details

I. General information

NPI: 1659289775
Provider Name (Legal Business Name): ERICA PULSONI-DRAPER CADC, MHRT/C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MOLLISON WAY
LEWISTON ME
04240-5811
US

IV. Provider business mailing address

18 MOLLISON WAY
LEWISTON ME
04240-5811
US

V. Phone/Fax

Practice location:
  • Phone: 207-310-6860
  • Fax: 207-312-6863
Mailing address:
  • Phone: 207-310-6860
  • Fax: 207-312-6863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberMHRT-C
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAC9247
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: