Cowan, Douglas Andrew

Cowan, Douglas Andrew is an sole proprietor health care provider with primary practice located at 131 Spring St. , Portland ME 04101. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cowan, Douglas Andrew can be contacted via phone (207) 650-2632.

Contact Information

Primary practice address
131 Spring St. Portland ME 04101
Phone: (207) 650-2632
Fax: (207) 767-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC3002 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC2708 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC3002 Maine

Profile Details

NPI number 1518292200
LBN Legal business name Cowan, Douglas Andrew
Credentials LCPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2009
Last updated Oct 31st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518292200 NPPES
Maine MEDICAID 432729499

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