Roberta Jacqueline Mullan, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Monmouth, ME
NPI 1376659342 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376659342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LC1420 (ME)
- Practice address
- 256 Cressey Rd
Monmouth, ME 04259-6804 - Phone
- (207) 933-4092
- NPI assigned
- Aug 22, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC1420 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC1420 | ME | Yes |
Addresses
Primary practice location
256 Cressey Rd
Monmouth, ME 04259-6804
Mailing address
256 Cressey Rd
Monmouth, ME 04259-6804
Phone (207) 933-4092
Other providers in Monmouth, ME
- Anna McElhaney
- Amanda Nichole Milliken
- Monmouth Rescue Association, Inc
- Monmouth School Department
- Monmouth School Department
- Lynn Murphy
- Diane Adele Nugent
- Andrew A Phinney
- Pine Hill Home Supports,Inc.
- Cheryl Ramsdell
All providers in Monmouth, 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 Jul 8, 2007. 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.