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Individual

ROY P HIBYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
136 MAINE ST, BRUNSWICK, ME 04011-2068
(207) 576-6121
Mailing address
39 SIGNATURE DR, BRUNSWICK, ME 04011-1753
(207) 576-6121

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5514
ME
101YP2500X
Professional Counselor
Primary
CC4607
ME

Other

Enumeration date
08/29/2012
Last updated
07/25/2016
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