JASON ROSS ANTKIES

LEWISTON, ME
NPI1588901706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC5263)
Enumeration Date2013-01-08
Last Update Date2013-01-08
Business Address
-- JASON ROSS ANTKIES LADC
369 MAIN ST
LEWISTON, ME 04240-7030
Phone number: 207-782-3386
Mailing Address
-- JASON ROSS ANTKIES LADC
369 MAIN ST
LEWISTON, ME 04240-7030
Phone number: 207-782-3386
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