JOSEPH C FARESE

BANGOR, ME
NPI1720373327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC4605)
Enumeration Date2011-06-13
Last Update Date2011-06-13
Business Address
-- JOSEPH C FARESE LADC
61 MAIN ST
BANGOR, ME 04401-6397
Phone number: 207-341-5844
Mailing Address
-- JOSEPH C FARESE LADC
42 WESSNETTE DR
HAMPDEN, ME 04444-3016
Phone number:
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