| Doctor Name: | PAULO DANIEL BRAGA |
| NPI Number: | 1205865128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC LCCS |
| License Number: | CCS3217 |
| Business Practice Address: | 110 Tandberg Trail Rte 115 Windham, ME - 04062 |
| Business Phone Number: | 2078995534 |
| Business Fax Number: | 2076424956 |
| Mailing Address: | 190 Boundary Rd, STANDISH |
| State: | ME |
| Postal Code: | 04084 |
| Phone Number: | 2076424956 |
| Fax Number: | 2076424956 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/17/2007 |
| NPI Reactivation Date: | 03/11/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CCS3217 |
| 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: | |