IndividualActive
Amanda Place, LADC
NPI 1356992499 · Addiction (Substance Use Disorder) Counselor · Portland, ME
Provider details
- NPI number
- 1356992499
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- No
- License
- CAC6519 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
499 Stevens Ave
Portland, ME 04103-2678
Phone: (207) 756-4232
Approximate (ZIP-level) locationGet directions
Mailing address
541 Brighton Ave # a
Portland, ME 04102-2349
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.