Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY MATTHEW CROCKETT, CADC
ActiveAddiction (Substance Use Disorder) Counselor · BANGOR, ME
Registration Details
- NPI Number
- 1780986315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2010 (15.404589024967 yrs)
- Last Updated
- Dec 2, 2010
- License
-
CAC4227 (ME)
Practice Information
- Address
-
629 MAIN STBANGOR, ME, 044016848Browse ME providers · Browse ZIP 04401
- Phone
- 2079902870
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD A NOONAN | ACSW, LCSW, LADC,MAC | 1912946179 |
| MAUREEN A SYLVAIN | LSW CADC | 1750475521 |
| MS. TONA LYNN EVANS | LADC-CCS | 1912027558 |
| MR. HARRY ELI BARRON | CADC | 1043404544 |
| MS. AIMEE MICHELLE CYR | LADC | 1699962258 |
| STEPHANIE E BRIDGES | RNC LADC LMT | 1952577827 |
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.