Michael Connors, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lewiston, ME
NPI 1306389283 · NPPES record last updated Nov 28, 2016
Key facts
- NPI
- 1306389283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAC6005 (ME)
- Practice address
- 550 Lisbon St
Lewiston, ME 04240-6580 - Phone
- (207) 514-0829
- NPI assigned
- Nov 28, 2016
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CAC6005 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC6005 | ME | Yes |
Addresses
Primary practice location
550 Lisbon St
Lewiston, ME 04240-6580
Mailing address
550 Lisbon St
Lewiston, ME 04240-6580
Phone (207) 505-1437
Other providers in Lewiston, ME
- Bruce Condit
- Julie Anne Conkright
- Skye Conley
- Connected Psychiatric Services, PLLC
- Kevin M Connelly
- Convenient Residential Care LLC
- Christopher K Cook
- Corinne Cook
- Michelle Elizabeth Cook
- Ann Patricia Cookson
All providers in Lewiston, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.