| Travis Wiggett, MA, LCPC | |
|
14 Maine St Ste 216d, Brunswick, ME 04011-2082 | |
| (207) 406-2697 | |
| Not Available |
| Full Name | Travis Wiggett |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 14 Maine St Ste 216d, Brunswick, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598812844 | NPI | - | NPPES |
| 413206 | Other | RI | BLUE CHIP |
| FM49368 | Medicaid | RI | |
| 31234-7 | Other | RI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC3364 (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 Wiggett, MA, LCPC 14 Maine St Ste 216d, Brunswick, ME 04011-2082 Ph: (207) 406-2697 | Travis Wiggett, MA, LCPC 14 Maine St Ste 216d, Brunswick, ME 04011-2082 Ph: (207) 406-2697 |
David R French, CADC Counselor Medicare: Medicare Enrolled Practice Location: 329 Bath Rd, Brunswick, ME 04011 Phone: 800-434-3000 | |
Luna Aurelia Colt, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Cumberland St, Brunswick, ME 04011 Phone: 802-595-3759 | |
Sandra J Smith, LADC, CCS, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6996 Fax: 207-373-6959 | |
Marie Ann Abrahams, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Park Row, Brunswick, ME 04011 Phone: 207-504-3587 | |
Bryan Smith, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6971 Fax: 207-373-6959 | |
Ms. Emily M Michaud, LCPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 66 Baribeau Dr Ste 2, Brunswick, ME 04011 Phone: 207-373-9741 Fax: 207-373-9494 | |
Andrea Harkins, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Maine St Ste 8, Brunswick, ME 04011 Phone: 207-274-7314 |