Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersMRS. DRUSILLA MARTIN MYERS LADC CCS
Addiction Substance Use Disorder
So Portland, Maine
Provider NPI: 1275589954
Provider Information:MRS. DRUSILLA MARTIN MYERS LADC CCS
Gender: F
Not Sole Proprietor
Practice Location:
650 MAIN ST SUITE 103 SO PORTLAND, ME 04106 US
Tel: 207-774-4564 Fax: 207-774-0006
Business Mailing Address:
19 GOOSEFARE DRIVE OLD ORCHARD BEACH, ME 04064 US
Tel: 207-934-7652 Fax: --
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ME | LC241 |
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor | ME | CCS2824 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 126240100 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
