Doctor Name: | ANNE MARIE DADURA |
NPI Number: | 1003223702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63483 |
Business Practice Address: | 11 Main St Suite 2 Kennebunk, ME - 040437005 |
Business Phone Number: | 5124186222 |
Business Fax Number: | |
Mailing Address: | 5 Bristol Ct, KENNEBUNK |
State: | ME |
Postal Code: | 040436957 |
Phone Number: | 5124186222 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63483 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |