Individual
JEANNINE AYOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA COUNSELOR LADC
Contact information
Practice address
139 MARKET ST, SUITE 101, FORT KENT, ME 04743-1410
(207) 834-3186
(207) 834-7190
Mailing address
139 MARKET ST, SUITE 101, FORT KENT, ME 04743-1410
(207) 834-3186
(207) 834-7190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC144
ME
Other
Enumeration date
01/29/2007
Last updated
07/09/2007
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