Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CC2173 | ME |
Y | 103TC1900X | Counseling Psychologist | CC2173 | ME |
NPI | 1215195672 |
---|---|
Provider Name | Dr. Rachelle Morrison |
First Address | Portland, ME 04102-3000 |
Second Address | Portland, ME 04102-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2008 |
Last Update Date | 06/11/2014 |