Doctor Name: | ANDREA KAUFMAN |
NPI Number: | 1588932776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW-CC, CADC |
License Number: | CAC5547 |
Business Practice Address: | 88 Fox St Suite # 101 Madawaska, ME - 047561352 |
Business Phone Number: | 2077286341 |
Business Fax Number: | 2077287762 |
Mailing Address: | 88 Fox St, Suite # 101 MADAWASKA |
State: | ME |
Postal Code: | 047561352 |
Phone Number: | 2077286341 |
Fax Number: | 2077287762 |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAC5547 |
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: |