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NPI Code Detail

MEDICARE: LAURYN MARIE BISSONNETTE LCPC

MEDICARE:   LAURYN MARIE BISSONNETTE  LCPC
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
1101YP2500XProfessional CounselorCC8477ME

General Provider Information

NPI Number : 1225814817
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURYN MARIE BISSONNETTE LCPC
Provider Business Mailing Address
First Line : 121 COMMERCIAL ST APT 3
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-4731
Country : US
Telephone Number : 207-620-2680
Fax Number :
Provider Business Practice Location Address
First Line : 24 STONE ST STE 201
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5209
Country : US
Telephone Number : 207-922-4600
Fax Number : 207-623-3722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 03/17/2026

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Directions to “ LAURYN MARIE BISSONNETTE LCPC” Practice Location

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