Driscoll, Michael J

Driscoll, Michael J is an individual health care provider with primary practice located at 401 Peter Dana Point Road , Princeton ME 04668. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Driscoll, Michael J can be contacted via phone (207) 796-2321.

Contact Information

Primary practice address
401 Peter Dana Point Road Princeton ME 04668
Phone: (207) 796-2321
Fax: (207) 796-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC1308 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X CC919 Maine

Profile Details

NPI number 1144489634
LBN Legal business name Driscoll, Michael J
Credentials LCPC, LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated May 22nd, 2019 - about 6 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 1144489634 NPPES
Maine MEDICAID 334750099

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