Individual
MICHELLE LARRIVEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 HIGH ST, FARMINGTON, ME 04938-1946
(207) 778-3556
(207) 778-3558
Mailing address
PO BOX 2008, LEWISTON, ME 04241-2008
(207) 783-9141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC15727
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5568
ME
1041C0700X
Clinical Social Worker
Primary
LC18224
ME
Other
Enumeration date
11/25/2014
Last updated
11/20/2019
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