LISA DAVIS

BANGOR, ME
NPI1134760226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LD4779)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
Ms. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
Mailing Address
Ms. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400