Individual
ANDREA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C LADC
Contact information
Practice address
24 STONE ST STE 101, AUGUSTA, ME 04330-5209
(207) 446-5773
Mailing address
45 HASKELL HAVEN RD, WINDSOR, ME 04363-3264
(207) 446-5773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6482
ME
101YP2500X
Professional Counselor
XL5046
ME
Other
Enumeration date
04/18/2018
Last updated
09/27/2018
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