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Individual

TRAVIS JEROME LENFEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LADC, CCS

Contact information

Practice address
139 STATE ST STE 2, BANGOR, ME 04401-5317
(207) 631-8968
Mailing address
139 STATE ST STE 2, BANGOR, ME 04401-5317
(207) 631-8968

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS5117
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4633
ME
1041C0700X
Clinical Social Worker
Primary
LC18074
ME

Other

Enumeration date
12/29/2014
Last updated
03/31/2022
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