BRENT AUSTIN

BANGOR, ME
NPI1134671472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME  CAC5436)
Enumeration Date2016-11-03
Last Update Date2016-11-03
Business Address
BRENT AUSTIN CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1612
Mailing Address
BRENT AUSTIN CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1612
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