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CLIFFORD THIBODEAU LADC, CCS
NPI 1427391036
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since April 02, 2013
65 INDIA ST, PORTLAND, ME 04101(207) 775-4790(207) 775-5231 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Clifford Thibodeau Ladc, Ccs NPPES

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

CLIFFORD THIBODEAU LADC, CCS (NPI 1427391036) is an individual addiction (substance use disorder) provider in Portland, Maine, licensed in Maine (LC3438) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1427391036
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLIFFORD THIBODEAUCredential: LADC, CCS
Location Address65 INDIA STPortland, ME 04101-4209
Mailing Address65 India StPortland, ME 04101-4209 · (207) 775-4790 · Fax (207) 775-5231
Phone(207) 775-4790
Fax(207) 775-5231
Sole ProprietorNo
Enumeration DateApril 2, 2013
✔ NPI 1427391036 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 · LC3438
65 INDIA ST, Portland, ME 04101
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN137990000ME

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILESTONE RECOVERY
Substance Abuse Rehabilitation Facility
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
OLIVER GILCHRIST BRADEEN LCPC
Counselor (Professional)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
MILESTONE RECOVERY
Substance Abuse Rehabilitation Facility
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
MEGAN MARIE POIRIER-WESTMAN LADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 770-4790
CAMERON R BONNEY MD
Psychiatry & Neurology (Psychiatry)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
KATE ELIZABETH MICHIE LADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 303-2481
JOYCE DOLLEY CADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
COLLEEN ROBYN MCKEE FNP
Nurse Practitioner (Family)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790

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 Clifford Thibodeau's NPI number?

The NPI number for Clifford Thibodeau is 1427391036. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Clifford Thibodeau located?

Clifford Thibodeau practices at 65 India St, Portland, ME 04101. The listed phone number is (207) 775-4790.

What is Clifford Thibodeau'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 Clifford Thibodeau was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.