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NPI Code Detail

MEDICARE: RENEE APRIL DALL CADC

MEDICARE: RENEE APRIL DALL CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCAC9350ME

General Provider Information

NPI Number : 1124976659
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE APRIL DALL CADC
Provider Business Mailing Address
First Line : 336 MAQUOIT RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-7401
Country : US
Telephone Number : 207-449-2564
Fax Number :
Provider Business Practice Location Address
First Line : 103 PARK ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7203
Country : US
Telephone Number : 207-440-7922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ RENEE APRIL DALL CADC” Practice Location

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