MARISSA DODGE LADC, CCS
NPI 1396502720
Counselor - Addiction (Substance Use Disorder) in Poland, ME

Active since March 04, 2024
9 SUNDERLAND RD, POLAND, ME 04274(207) 522-9608 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marissa Dodge Ladc, Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA DODGE LADC, CCS (NPI 1396502720) is an individual addiction (substance use disorder) provider in Poland, Maine, licensed in Maine (CCS8524) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1396502720
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARISSA DODGECredential: LADC, CCS
Location Address9 SUNDERLAND RDPoland, ME 04274-7500
Mailing Address9 Sunderland RdPoland, ME 04274-7500 · (207) 522-9608
Sole ProprietorYes
Enumeration DateMarch 4, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1396502720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in ME · CCS8524 Licensed in ME · LC7702
9 SUNDERLAND RD, Poland, ME 04274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Dodge's NPI number?

The NPI number for Marissa Dodge is 1396502720. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Marissa Dodge located?

Marissa Dodge practices at 9 Sunderland Rd, Poland, ME 04274. The listed phone number is (207) 522-9608.

What is Marissa Dodge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marissa Dodge was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.