Edith A. Dow, MHRT-C & CADC

Individual provider Active NPI Mental Health Counselor · Madawaska, ME

NPI 1457547879 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1457547879
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
88 Fox St
Madawaska, ME 04756-1352
Phone
(207) 728-6341
Fax
(207) 728-7762
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
CAC4062MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ME Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC4062 ME

Addresses

Primary practice location

88 Fox St
Madawaska, ME 04756-1352

Mailing address

88 Fox St
Madawaska, ME 04756-1352
Phone (207) 728-6341

Other identifiers

IdentifierTypeStateIssuer
103850000OtherMEMAINECARE

Other providers in Madawaska, ME

All providers in Madawaska, ME · Mental Health Counselor in Maine

Sources for this page

Verify at the official NPI Registry.