Larson, Carol Maynard

Larson, Carol Maynard is an individual health care provider with primary practice located at 12 Westbrook Cmn , Westbrook ME 04092-2819. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Larson, Carol Maynard can be contacted via phone (207) 856-1500.

Contact Information

Primary practice address
12 Westbrook Cmn Westbrook ME 04092-2819
Phone: (207) 856-1500
Fax: (207) 856-1518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC2507 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC3744 Maine

Profile Details

NPI number 1952418709
LBN Legal business name Larson, Carol Maynard
Credentials LCPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 14th, 2016 - about 8 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 1952418709 NPPES
Maine MEDICAID 432159799

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