Durepo, Travis C
Durepo, Travis C is an individual health care provider with primary practice located at 658 Main St Ste 1 , Caribou ME 04736-4461. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Durepo, Travis C can be contacted via phone (207) 492-9003.Contact Information
Primary practice address
658 Main St Ste 1
Caribou ME 04736-4461
Phone: (207) 492-9003
Fax: (855) 553-6925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | XL4038 | Maine |
Profile Details
| NPI number | 1134470438 |
|---|---|
| LBN Legal business name | Durepo, Travis C |
| Credentials | LCPC CONDITIONAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2012 |
| Last updated | Dec 1st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134470438 | NPPES |
| Maine | Other | CC5725 | STATE OF MAINE |
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