Male or Other

Christopher Coose LADC,CCS

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

Full Name

Christopher Coose LADC,CCS

NPI Number

1144451204

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/06/2009

Specialties

(Taxonomies)

Code

101YA0400X

Primary Taxonomy

Yes

Licenses

State

Maine
Maine

License Number

LC1188
CCS2830

Contact
Information

Purpose

Mailing
Location

Address

142 HIGH ST
142 HIGH ST

City

Portland
Portland

State

ME
ME

Postal Code

04101-2851
04101-2851

Country

US
US

Telephone Number

(207) 780-8999
(207) 780-8999

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

Data last updated by provider on 08/06/2009

Provider Address

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