Anne Marie Dadura, LCPC

Individual provider Active NPI Professional Counselor · Kennebunk, ME

NPI 1003223702 · NPPES record last updated Jun 9, 2021

Key facts

NPI
1003223702
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC4493 (ME)
Practice address
56 Portland Rd Ste 3
Kennebunk, ME 04043-6652
Phone
(207) 604-4971
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CC4493MEMDProfessional Counselor
63483TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63483 TX
Professional Counselor 101YP2500X CC4493 ME Yes

Addresses

Primary practice location

56 Portland Rd Ste 3
Kennebunk, ME 04043-6652

Mailing address

5 Bristol CT
Kennebunk, ME 04043-6957
Phone (512) 418-6222

Other providers in Kennebunk, ME

All providers in Kennebunk, ME · Professional Counselor in Maine

Sources for this page

Verify at the official NPI Registry.