Mrs Roberta Jacqueline Mullan, LADC is a
Counselor - Addiction (substance Use Disorder) based in Monmouth, Maine. Mrs Roberta Jacqueline Mullan is licensed to practice in Maine (license number LC1420) and her current practice location is
256 Cressey Rd, Monmouth, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 933-4092.
NPI number for Mrs Roberta Jacqueline Mullan is 1376659342 and her current mailing address is 256 Cressey Rd, Monmouth, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376659342.
Healthcare Provider's Profile
| Full Name | Mrs Roberta Jacqueline Mullan |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 256 Cressey Rd, Monmouth, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376659342
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Roberta Jacqueline Mullan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376659342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC1420 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Roberta Jacqueline Mullan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Roberta Jacqueline Mullan, LADC
256 Cressey Rd,
Monmouth, ME 04259-6804
Ph: (207) 933-4092 | Mrs Roberta Jacqueline Mullan, LADC
256 Cressey Rd,
Monmouth, ME 04259-6804
Ph: (207) 933-4092 |
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