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General NPI Number Information
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NPI Number | 1649132630
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Entity Type | Organization
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Legal Business Name | NORTHERN PINES COUNSELING LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 20 MECHANIC ST STE 102
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City | CAMDEN
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State | ME
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Zip | 04843-1707
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Country | US
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Telephone | 207-231-8992
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Fax |
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Provider Business Mailing Address
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Address Line | 265 SWAN LAKE AVE
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City | BELFAST
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State | ME
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Zip | 04915-7037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW HEROUX
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Credential | LADC, CCS
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Telephone | 207-323-1323
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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 |
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License Number State |
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