Laurie Jean Cronin, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bangor, ME
NPI 1417605437 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1417605437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAC7176 (ME)
- Practice address
- 760 Union St Ste a
Bangor, ME 04401-3125 - Phone
- (207) 989-2946
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| CAC7176 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC7176 | ME | Yes |
Addresses
Primary practice location
760 Union St Ste a
Bangor, ME 04401-3125
Mailing address
35 Nelligan Dr
Holden, ME 04429-7106
Phone (207) 852-1410
Other practice location 1
35 Nelligan Dr
Holden, ME 04429-7106
Phone (207) 852-1410
Other providers in Bangor, ME
- Carmen Denise Crofoot
- Jessica Summer Brooke Cromwell
- Simone Elisabeth Cromwell
- Jennifer Louise Crone
- Jamie L/ Cronin
- Abigail J Cronkite
- Vicki L Cropley
- Heidi Crosier
- Jesse Cross
- Heidi Anne Crouse
All providers in Bangor, 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 Mar 17, 2022. 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.