NPI 1033916531

Brianna Wiederhold, CADC

Practitioner Addiction (Substance Use Disorder) Counselor South Portland, ME

Practice location

Address: 400 Western Ave, South Portland, ME 04106-1704
Phone: (207) 774-7111

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CAC8896 (ME)

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Registry record

NPI: 1033916531
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.