Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 63483 | TX |
Y | 101YP2500X | Professional Counselor | CC4493 | ME |
NPI | 1003223702 |
---|---|
Provider Name | Anne Marie Dadura |
First Address | Kennebunk, ME 04043-6957 |
Second Address | Kennebunk, ME 04043-6652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2014 |
Last Update Date | 09/06/2021 |