PAULO DANIEL BRAGA LCPC LCCS
Addiction Substance Use Disorder
Windham, Maine
Provider NPI: 1205865128
Provider Information:PAULO DANIEL BRAGA LCPC LCCS
Gender: M
Sole Proprietor
Practice Location:
110 TANDBERG TRAIL RTE 115 WINDHAM, ME 04062 US
Tel: 207-899-5534 Fax: 207-642-4956
Business Mailing Address:
190 BOUNDARY RD STANDISH, ME 04084 US
Tel: 207-642-4956 Fax: 207-642-4956
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ME | CCS3217 |
N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | ME | LCPC1296 |
Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | ME | CC1296 |
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