| Doctor Name: | MR. KEITH A PLOUFFE |
| NPI Number: | 1124372909 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC-C |
| License Number: | XL4016 |
| Business Practice Address: | 284 Main St Suite 390 Wilton, ME - 042943044 |
| Business Phone Number: | 2076455304 |
| Business Fax Number: | |
| Mailing Address: | 180 Main St, WATERVILLE |
| State: | ME |
| Postal Code: | 049016666 |
| Phone Number: | 2078725300 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2012 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | XL4016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |