MARY-ELLEN OSTHERR MA LADC CCS
NPI 1407936669
Counselor - Addiction (Substance Use Disorder) in Rockland, ME
Active since October 16, 2006
About Mary-ellen Ostherr Ma Ladc Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY-ELLEN OSTHERR MA LADC CCS (NPI 1407936669) is an individual addiction (substance use disorder) provider in Rockland, Maine, licensed in Maine (LC3421) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1407936669
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY-ELLEN OSTHERRCredential: MA LADC CCS
Location Address17 MASONIC STREETRockland, ME 04841
Mailing Address310 Hosmer Pond RdCamden, ME 04843-4053 · (207) 841-6775 · Fax (207) 236-8073
Phone(207) 841-6775
Fax(207) 236-8073
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJune 11, 2008
✔ NPI 1407936669 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
License✔ Licensed in ME · LC3421
17 MASONIC STREET, Rockland, ME 04841
Other Identifiers 1
Medicaid104000000ME
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407936669, enumerated as an "individual" on October 16, 2006.
The provider is located at 17 MASONIC STREET ROCKLAND, ME 04841 and the phone number is (207) 841-6775.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
