IndividualActive
Amanda Porter, LADC, CCS
NPI 1720733686 · Addiction (Substance Use Disorder) Counselor · South Portland, ME
Provider details
- NPI number
- 1720733686
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, CCS
- Sex
- Female
- Sole proprietor
- No
- License
- LC6619 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
525 Main St Ste E
South Portland, ME 04106-5457
Phone: (207) 767-0991
Approximate (ZIP-level) locationGet directions
Mailing address
525 Main St Ste E
South Portland, ME 04106-5457
Registry dates
- Enumerated
- 2022-02-18
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.