Michael Lawrence Gervais, LCPC-CONDITIONAL

NPI #1508978255 in Augusta, Maine

Provider Information

NPI Number
1508978255
Entity Type
Individual
Name
Michael Lawrence Gervais, LCPC-CONDITIONAL
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC-CONDITIONAL
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
66 STONE ST
State
Maine
ZIP Code
04330-5227
Phone
(207) 626-3455

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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