Freeman R. Corey in Portland - Addiction (substance Use Disorder)

Freeman R. Corey - NPI 1053479915

Freeman R. Corey is a Addiction (substance Use Disorder) in Portland, Maine. Freeman R. Corey practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Freeman R. Corey is 1053479915. The last update date is 2016-02-02.

Freeman R. Corey's current location address is 899 Riverside St, Portland, Maine. You can contact this provider via phone number 2078711211 and fax number 2078711232. The mailing address for Freeman R. Corey is 899 Riverside St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Freeman R. Corey
Address 899 Riverside St, Portland, Maine
Phone Number 2078711211
Fax Number 2078711232
Sole Proprietor Y
Credentials LCSW, LADC

NPI Number Detail

NPI Number 1053479915
Provider Enumeration Date 2006-12-04
Last Updated Date 2016-02-02

Provider Mailing Address Detail

Address 899 Riverside St
City Portland
State Maine (ME)
Post Code 41031070
Phone Number 2078711211
Fax Number 2078711232

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LC901
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98153 ME ANTHEM BCBS NUMBER
431586399 ME --

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FAQs about Freeman R. Corey

What is the unique 10-digit identifier code assigned to Freeman R. Corey by the Centers for Medicare & Medicaid Services?

The Freeman R. Corey has been issued the NPI (National Provider Identifier) 1053479915 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Freeman R. Corey?

The Freeman R. Corey is situated at 899 Riverside St, in the city of Portland, state of ME, with the zip code 41031070.

What is Freeman R. Corey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Freeman R. Corey is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date was the 1053479915 assigned to Freeman R. Corey?

The Freeman R. Corey was issued its 1053479915 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Freeman R. Corey's information last updated?

The Freeman R. Corey's information was last updated on 2016-02-02.

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