ALISON LINDQUIST LCSW, LADC
Addiction Substance Use Disorder
Lewiston, Maine
Provider NPI: 1205897386
Provider Information:ALISON LINDQUIST LCSW, LADC
Gender: F
Not Sole Proprietor
Practice Location:
100 CAMPUS AVE STE A&B LEWISTON, ME 04240 US
Tel: 207-755-3434 Fax: 207-755-3474
Business Mailing Address:
PO BOX 7291 LEWISTON, ME 04243 US
Tel: 207-777-8950 Fax: 207-777-8800
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ME | CCS5310 |
N | 101YA0400X | Behavioral Health & Social Service Providers Counselor | ME | LC3839 |
Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | ME | LC10195 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
264830099 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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