Provider Demographics
NPI:1033295985
Name:BACHAND, DEBORAH M (LADC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:BACHAND
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WATER ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-6559
Mailing Address - Country:US
Mailing Address - Phone:207-861-3505
Mailing Address - Fax:207-861-3470
Practice Address - Street 1:10 WATER ST
Practice Address - Street 2:SUITE 306
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-6559
Practice Address - Country:US
Practice Address - Phone:207-861-3505
Practice Address - Fax:207-861-3470
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC383101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)