Harris, Casey E

Harris, Casey E is an individual health care provider with primary practice located at 629 Main St , Bangor ME 04401-6848. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Harris, Casey E can be contacted via phone (207) 990-2870.

Contact Information

Primary practice address
629 Main St Bangor ME 04401-6848
Phone: (207) 990-2870
Fax: (207) 990-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC4607 Maine
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316255706
LBN Legal business name Harris, Casey E
Credentials CADC, MHRT-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2010
Last updated Sep 20th, 2010 - about 15 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 1316255706 NPPES
Maine Other CAC4607 STATE OF MAINE - CERTIFIED ALCOHOL AND DRUG COUNSELOR LICENSE

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