IndividualActive
Brianna Wiederhold, CADC
NPI 1033916531 · Addiction (Substance Use Disorder) Counselor · South Portland, ME
Provider details
- NPI number
- 1033916531
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC
- Sex
- Female
- Sole proprietor
- No
- License
- CAC8896 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
400 Western Ave
South Portland, ME 04106-1704
Phone: (207) 774-7111
Approximate (ZIP-level) locationGet directions
Mailing address
400 Western Ave
South Portland, ME 04106-1704
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.