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NPI 1144547084

NPI 1144547084 : VERNA JO BOYINGTON LCPCC : LINCOLN, ME

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General NPI Number Information
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    NPI Number           |    1144547084
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    Entity Type          |    Individual 
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    Provider Name        |    VERNA JO BOYINGTON LCPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2010
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    26B ENFIELD RD 
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    City                 |    LINCOLN
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    State                |    ME
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    Zip                  |    04457-1190
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    Country              |    US
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    Telephone            |    207-403-9197
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    Fax                  |    207-403-9093
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Provider Business Mailing Address
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    Address Line         |    26B ENFIELD RD 
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    City                 |    LINCOLN
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    State                |    ME
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    Zip                  |    04457-1190
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    Country              |    US
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    Telephone            |    207-403-9197
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    Fax                  |    207-403-9093
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    CC4079
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    License Number State |    ME
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