| Travis C Durepo, LCPC CONDITIONAL | |
|
658 Main St Ste 1, Caribou, ME 04736-4461 | |
| (207) 492-9003 | |
| (855) 553-6925 |
| Full Name | Travis C Durepo |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 658 Main St Ste 1, Caribou, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134470438 | NPI | - | NPPES |
| CC5725 | Other | ME | STATE OF MAINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | XL4038 (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 |
|---|---|
| Travis C Durepo, LCPC CONDITIONAL 658 Main St Ste 1, Caribou, ME 04736-4461 Ph: (207) 492-0903 | Travis C Durepo, LCPC CONDITIONAL 658 Main St Ste 1, Caribou, ME 04736-4461 Ph: (207) 492-9003 |
Bobbie Chasse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Hatch Dr Ste 310, Caribou, ME 04736 Phone: 072-493-3361 Fax: 207-492-4889 | |
Jessica L. Bouley, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Sweden St, Suite #201, Caribou, ME 04736 Phone: 207-493-3361 Fax: 207-492-4889 | |
Anna M. Hale, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Sweden St, Caribou, ME 04736 Phone: 207-498-3361 Fax: 207-492-4889 | |
Mr. Freeman R. Corey, LCSW, LADC, CCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 7 Hatch Dr, Suite 240, Caribou, ME 04736 Phone: 207-498-2400 Fax: 207-498-2400 | |
Lori A Cyr, P. MHRT-C, OQMHP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Hatch Dr, Suite 210, Caribou, ME 04736 Phone: 207-498-6431 Fax: 207-492-3181 | |
Krista A Albert, OQMHP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Hatch Dr, Suite #210, Caribou, ME 04736 Phone: 207-498-6431 Fax: 207-492-3181 | |
Susan Carrigan Morrill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Sweden St Ste 1, Caribou, ME 04736 Phone: 207-346-0267 |