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BRANDIN TURNER LADC

Addiction Substance Use Disorder

South Paris, Maine

Provider NPI: 1528014917

Provider Information:
 BRANDIN  TURNER LADC
Gender: M
Sole Proprietor


Practice Location:
659 PARK ST  SOUTH PARIS, ME 04281 US
Tel: 207-739-2644  Fax: --

Business Mailing Address:
PO BOX 186  SOUTH GARDINER, ME 04359 US
Tel: 207-446-8207  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MELC3946
N101YA0400XBehavioral Health & Social Service Providers
Counselor
MECAC3135

Other Provider Identifiers:

IssuerNumberStateType
431875699ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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