Individual provider · Type 1 NPI
Travis C. Durepo, LCPC CONDITIONAL
Counselor · Caribou, ME
NPI number
1134470438
Active
Practice location
658 Main St Ste 1
Caribou, ME 04736-4461
Fax (855) 553-6925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | XL4038 (ME) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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- Julie J. Blackstone, CADCCounselor Caribou, ME NPI 1104349786
- Gail M. Donovan, LADCCounselor Caribou, ME NPI 1124527569
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About NPI 1134470438
Travis C. Durepo, LCPC CONDITIONAL's National Provider Identifier is 1134470438, issued on Sep 26, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Caribou, ME. The record was last updated on Dec 1, 2021.