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Debra Miles, LADC

Counselor, Addiction (Substance Use Disorder) in Bangor, ME. Individual provider (NPI-1).

NPI number1366091464
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1366091464
Entity type
Individual (NPI-1)
Name
Debra Miles
Credential
LADC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2019
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LC4271MEYes

Practice location

659 Hogan Rd
Bangor, ME 04401-3626

Phone 207-973-0400 · Fax 207-973-1881

Mailing address

659 Hogan Rd
Bangor, ME 04401-3626

Phone 207-973-0400 · Fax 207-973-1881

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