Doctor Name: | MS. MARY EILEEN D'ALESSANDRO |
NPI Number: | 1053660043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LC867 |
Business Practice Address: | 126 College Ave Orono, ME - 044734223 |
Business Phone Number: | 9784305401 |
Business Fax Number: | |
Mailing Address: | Po Box 618, SOUTHWEST HARBOR |
State: | ME |
Postal Code: | 046790618 |
Phone Number: | 9784305401 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |