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Individual

TONYA DUGGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3566
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3566

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL4416
ME
101YP2500X
Professional Counselor
Primary
CC4868
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC4868
LCPC LICENSE
ME
Enumeration date
03/09/2015
Last updated
06/25/2024
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