Individual
TIBBY YORK-LONGPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 LISBON ST, SUITE 105, LEWISTON, ME 04240-7198
(207) 783-3574
Mailing address
11 LISBON ST, SUITE 105, LEWISTON, ME 04240-7198
(207) 783-3574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC2470
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432018999
—
ME
Enumeration date
06/25/2008
Last updated
07/08/2008
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