person
Michael Lawrence Gervais, LCPC-CONDITIONAL
Professional Counselor in Augusta, Maine
NPI 1508978255

Michael Lawrence Gervais is a Professional Counselor based in Augusta, ME and is specialized in Professional. Michael Lawrence Gervais practices in Augusta, ME and has the professional credentials of LCPC-CONDITIONAL. The NPI Number for Michael Lawrence Gervais is 1508978255 and holds a License No. CC3046 (Maine).

The current practice location address for Michael Lawrence Gervais is 66 Stone St, Augusta, ME and can be reached out via phone at 207-626-3455 and via fax at 207-626-3612.

Location: 66 Stone St, Augusta, ME, 04330-5227
person
Provider Profile Details
NPI Number
1508978255
Provider Name
Michael Lawrence Gervais
Credential
LCPC-CONDITIONAL
Provider Entity Type
Individual
Gender
Male
Address
66 Stone St, Augusta, ME, 04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
66 Stone St
City
State
Zip
04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612
person
Provider Business Mailing Address Details
Address
66 Stone St
City
State
Zip
04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC3046 (Maine)
Definition
Definition to come...
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