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MRS. 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:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MELC241
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
MECCS2824

Other Provider Identifiers:

IssuerNumberStateType
126240100ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS ME - Page 1

1 Registered Nurse Bangor, ME, USA We provide behavioral health services to improve the quality of life for individuals living with mental illness and addictions. FHR serves over 7,000 individuals through a person-centered approach ...... Apply Now>>



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