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NPI Code Detail

MEDICARE: PATRICIA ANN LEDOUX LCPC

MEDICARE:   PATRICIA ANN LEDOUX  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 CounselorCC6299ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700423837
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN LEDOUX LCPC
Provider Business Mailing Address
First Line : PO BOX 2258
Second Line :
City : BIDDEFORD
State : ME
Zip : 04005-8258
Country : US
Telephone Number : 207-352-0433
Fax Number :
Provider Business Practice Location Address
First Line : 1 HIGH ST STE 7
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-7148
Country : US
Telephone Number : 207-352-0433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2019
Last Update Date : 11/07/2024

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Directions to “ PATRICIA ANN LEDOUX LCPC” Practice Location

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