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NPI Code Detail

MEDICARE: WINTER M. ESTES LC

MEDICARE: WINTER M. ESTES LC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLC4983ME

General Provider Information

NPI Number : 1356620439
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINTER M. ESTES LC
Provider Business Mailing Address
First Line : 24 DUNN ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6821
Country : US
Telephone Number : 207-784-2901
Fax Number :
Provider Business Practice Location Address
First Line : 24 DUNN ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6821
Country : US
Telephone Number : 207-784-2901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2011
Last Update Date : 08/08/2011

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Directions to “ WINTER M. ESTES LC” Practice Location

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