Provider Demographics
NPI:1588203145
Name:COUNCE, ADRIAN ALAN (CADC)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:ALAN
Last Name:COUNCE
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-3344
Mailing Address - Country:US
Mailing Address - Phone:207-594-4006
Mailing Address - Fax:207-594-9475
Practice Address - Street 1:474 MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-3344
Practice Address - Country:US
Practice Address - Phone:207-594-4006
Practice Address - Fax:207-594-9475
Is Sole Proprietor?:No
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC6894101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)