Individual
DOUGLAS D LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADS, CCS
Contact information
Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Mailing address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CCS4442
ME
1041C0700X
Clinical Social Worker
Primary
LC12734
ME
1041C0700X
Clinical Social Worker
LC3551
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431555999
—
ME
Enumeration date
01/29/2007
Last updated
03/17/2021
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