Provider Demographics
NPI:1356407837
Name:HARTFORD-STEWART, MADALENE MORGAN (LCPC, CADC)
Entity type:Individual
Prefix:
First Name:MADALENE
Middle Name:MORGAN
Last Name:HARTFORD-STEWART
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LINCOLN
Mailing Address - State:ME
Mailing Address - Zip Code:04457-1458
Mailing Address - Country:US
Mailing Address - Phone:207-794-6166
Mailing Address - Fax:
Practice Address - Street 1:52 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LINCOLN
Practice Address - State:ME
Practice Address - Zip Code:04457-1458
Practice Address - Country:US
Practice Address - Phone:207-794-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC3226101YA0400X
MECC1581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health