Timothy M. Mcbrady LPN, LADC, CCS
Addiction (Substance Use Disorder) Counselor in Portland, ME(View on Map)
Full Name
Timothy Michael Mcbrady LPN, LADC, CCS
NPI Number
1346454923
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/10/2007
Specialties
(Taxonomies)Licenses
State
Maine
License Number
LC1323
Contact
Information
Purpose
Mailing
Location
Address
936 ROOSEVELT TRL
2300 CONGRESS ST
City
Windham
Portland
State
ME
ME
Postal Code
04062-5652
04102-1908
Country
US
US
Telephone Number
(207) 893-0000
(207) 221-2292
Identifiers
Identifier
251760099
Identifier State
ME
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/14/2010
Provider Address
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