Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA DODGE, LADC, CCS
Active Sole ProprietorMARISSA DODGE, LADC, CCS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in POLAND, Maine. NPI 1396502720 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · POLAND, ME
Registration Details
- NPI Number
- 1396502720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2024 (2.2596797432953 yrs)
- Last Updated
- Mar 4, 2024
- Licenses
-
LC7702 (ME)CCS8524 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 SUNDERLAND RDPOLAND, ME, 042747500Browse ME providers · Browse ZIP 04274
- Phone
- 2075229608
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.