Individual
LYNN M. AVIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
2 SPRINGBROOK DRIVE, BIDDEFORD, ME 04005-9443
(207) 282-1500
(207) 282-2581
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3419
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431974699
—
ME
Enumeration date
03/20/2007
Last updated
11/16/2012
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