Individual
HOLLY R VIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 ACADEMY ST, PRESQUE ISLE, ME 04769-3101
(207) 764-6825
(207) 764-6077
Mailing address
PO BOX 509, PRESQUE ISLE, ME 04769-0509
(207) 764-6825
(207) 764-6077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12368
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720282213
—
ME
Enumeration date
06/11/2007
Last updated
10/03/2019
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