Levesque, Douglas D

Levesque, Douglas D is an individual health care provider with primary practice located at 12 Bolduc Ave , Fort Kent ME 04743-1602. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Levesque, Douglas D can be contacted via phone (207) 834-3971.

Contact Information

Primary practice address
12 Bolduc Ave Fort Kent ME 04743-1602
Phone: (207) 834-3971
Fax: (207) 834-3837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CCS4442 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC3551 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC12734 Maine

Profile Details

NPI number 1952447179
LBN Legal business name Levesque, Douglas D
Credentials LCSW, LADS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952447179 NPPES
Maine MEDICAID 431555999

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