Jane Virginia Wildman, CADC
NPI #1699502377 in South Portland, Maine
Provider Information
- NPI Number
- 1699502377
- Entity Type
- Individual
- Name
- Jane Virginia Wildman, CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC
- Enumeration Date
- Sep 17, 2024
- Last Updated
- Sep 17, 2024
Practice Location
- Address
- 400 WESTERN AVE
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1704
- Phone
- (207) 774-7111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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