Female

Amanda M. Place LADC

Addiction (Substance Use Disorder) Counselor in Portland, ME(View on Map)

Full Name

Amanda Marie Place LADC

NPI Number

1356992499

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/20/2019

Specialties

(Taxonomies)

Code

101YA0400X

Primary Taxonomy

Yes

Licenses

State

Maine
Maine

License Number

LC7416
CAC6519

Contact
Information

Purpose

Mailing
Location

Address

541 BRIGHTON AVE # A
499 STEVENS AVE

City

Portland
Portland

State

ME
ME

Postal Code

04102-2349
04103-2678

Country

US
US

Telephone Number

(207) 756-4232
(207) 756-4232

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/23/2021

Provider Address

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