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General NPI Number Information
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NPI Number | 1265409528
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Entity Type | Organization
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Legal Business Name | CENTRAL MAINE COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 276 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-7024
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Country | US
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Telephone | 207-782-3386
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Fax | 207-782-3386
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Provider Business Mailing Address
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Address Line | 276 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-7024
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Country | US
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Telephone | 207-782-3386
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Fax | 207-782-3386
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JEAN ELIZABETH LITCHFIELD
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Credential | LCPC/LADC
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Telephone | 207-782-3386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 272021
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License Number State | ME
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