Thibodeau, Clifford

Thibodeau, Clifford is an individual health care provider with primary practice located at 65 India St , Portland ME 04101-4209. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Thibodeau, Clifford can be contacted via phone (207) 775-4790.

Contact Information

Primary practice address
65 India St Portland ME 04101-4209
Phone: (207) 775-4790
Fax: (207) 775-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC3438 Maine

Profile Details

NPI number 1427391036
LBN Legal business name Thibodeau, Clifford
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Apr 2nd, 2013 - about 13 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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