Provider Demographics
NPI:1992820484
Name:ADAIR, NANCI W (LCPC, CCS)
Entity type:Individual
Prefix:
First Name:NANCI
Middle Name:W
Last Name:ADAIR
Suffix:
Gender:F
Credentials:LCPC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ROWE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-1409
Mailing Address - Country:US
Mailing Address - Phone:207-780-1681
Mailing Address - Fax:
Practice Address - Street 1:39 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2855
Practice Address - Country:US
Practice Address - Phone:207-780-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECCS4444101YA0400X
MECC22101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)