Chad R White, LADC | |
30 Leavitt St, Skowhegan, ME 04976 | |
(207) 399-5609 | |
Not Available |
Full Name | Chad R White |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 30 Leavitt St, Skowhegan, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679942023 | NPI | - | NPPES |
LC6551 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC5853 (Maine) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC6551 (Maine) | Primary |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Entity Name | Eastern Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
---|---|
Chad R White, LADC 30 Leavitt St, Skowhegan, ME 04976-1843 Ph: (207) 399-5609 | Chad R White, LADC 30 Leavitt St, Skowhegan, ME 04976 Ph: (207) 399-5609 |
Julie Kristen Randall York, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-873-2136 Fax: 207-660-4529 | |
Chad Parisi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-8311 Fax: 207-474-5148 | |
Maria R Noyes Paylor, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 30 Leavitt St, Skowhegan, ME 04976 Phone: 207-485-6753 | |
Katlynn Beaumont, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-8368 | |
Darren Ripley Sr., LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-3670 | |
Jillian Paule Roy, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Leavitt St, Skowhegan, ME 04976 Phone: 888-922-4736 Fax: 844-331-2315 | |
Mr. Gerald W. Thibault, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 157 Waterville Road, Suite 2, Skowhegan, ME 04976 Phone: 207-474-3477 |