Lynn M. Avigo, LADC, CCS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Biddeford, ME
NPI 1376668046 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1376668046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LC3419 (ME)
- Practice address
- 2 Springbrook Drive
Biddeford, ME 04005-9443 - Phone
- (207) 282-1500
- Fax
- (207) 282-2581
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3419 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC3419 | ME | Yes |
Addresses
Primary practice location
2 Springbrook Drive
Biddeford, ME 04005-9443
Mailing address
78 Atlantic Place
South Portland, ME 04106-2316
Phone (207) 842-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431974699 | Medicaid | ME |
Other providers in Biddeford, ME
- Apex Physical Therapy LLC
- Lisa Arsenault
- Fernanda Cerqueira Asel
- Mariah Aubin
- Jennifer Jean Avery
- Awakened Soul LLC
- Donna Marie Ayres
- B. Well Collaborative Care, LLC
- Ryan James Babinsky
- Allison Kerry Baird
All providers in Biddeford, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.