Healthcare Provider Details

I. General information

NPI: 1487769758
Provider Name (Legal Business Name): JOHN LUCIEN GIGUERE LCPC/LADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 HIGH ST
SKOWHEGAN ME
04976-1828
US

IV. Provider business mailing address

30 HIGH ST
SKOWHEGAN ME
04976-1828
US

V. Phone/Fax

Practice location:
  • Phone: 207-474-8368
  • Fax: 207-474-7794
Mailing address:
  • Phone: 207-474-8368
  • Fax: 207-474-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC907
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC1557
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: