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General NPI Number Information
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NPI Number | 1831549211
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Entity Type | Individual
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Provider Name | MELISSA ANN ADAMS LMSW-CC, LADC, CCS,
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Gender | Female
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 9 SPRUCE ST
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City | AUGUSTA
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State | ME
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Zip | 04330-5213
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Country | US
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Telephone | 207-621-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SPRUCE ST
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City | AUGUSTA
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State | ME
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Zip | 04330-5213
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Country | US
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Telephone | 207-621-7218
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LC5332
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCS5580
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC14076
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MC14076
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License Number State | ME
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