| Lisa Lavoie, | |
|
31 Market St, Fort Kent, ME 04743-1418 | |
| (207) 834-5430 | |
| Not Available |
| Full Name | Lisa Lavoie |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 31 Market St, Fort Kent, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376016915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC6725 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | XL5447 (Maine) | Primary |
| Entity Name | Sweetser |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lavoie, 872 Caribou Rd, Fort Kent, ME 04743-1542 Ph: () - | Lisa Lavoie, 31 Market St, Fort Kent, ME 04743-1418 Ph: (207) 834-5430 |
Amy Voisine, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 Market St, Suite 109, Fort Kent, ME 04743 Phone: 207-834-3186 Fax: 207-834-7190 | |
Mr. Shawn Edward Graham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Market St, Fort Kent, ME 04743 Phone: 207-834-5430 Fax: 207-834-2332 | |
Jennifer L. Desjardins, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Market St, Fort Kent, ME 04743 Phone: 207-436-7027 | |
Mr. Charles P Zafonte, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 272 W Main St, Ste 101, Fort Kent, ME 04743 Phone: 207-834-5430 Fax: 207-834-2332 | |
Jennifer L. Levesque, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Market St, Fort Kent, ME 04743 Phone: 207-231-0793 | |
Miguel Barnaby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 E Main St, Fort Kent, ME 04743 Phone: 207-834-3186 Fax: 207-834-7190 |