Individual
MRS. ELIZABETH M DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C, CADC
Contact information
Practice address
4 PARK ST, SUITE 2, LEWISTON, ME 04240-7172
(207) 784-0922
Mailing address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5239
ME
101YM0800X
Mental Health Counselor
XL4111
ME
104100000X
Social Worker
Primary
LSX12762
ME
Other
Enumeration date
11/04/2010
Last updated
06/20/2014
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