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Contact Information

MARK ALLEN, LSW, LADC, CCS
18 MOLLISON WAY
LEWISTON, ME04240-5811
 Phone: 207-312-6860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARK ALLEN · (Male)

NPI Number 1790671550
Status Active
Credentials LSW, LADC, CCS
Entity Individual
Enumeration date 06/17/2025
Last updated 06/17/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • ME License # LC5002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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