MEDICARE: ROBIN A.E. DUPLESSIS CADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAC7074	ME

General Provider Information

NPI Number	:	1174195606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN A.E. DUPLESSIS CADC

Provider Business Mailing Address
First Line	:	38 UNION ST
Second Line	:
City	:	LIVERMORE FALLS
State	:	ME
Zip	:	04254-1229
Country	:	US
Telephone Number	:	207-645-9770
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 UNION ST
Second Line	:
City	:	LIVERMORE FALLS
State	:	ME
Zip	:	04254-1229
Country	:	US
Telephone Number	:	207-645-9770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	07/14/2021

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