Michael Lawrence Gervais, LCPC-CONDITIONAL
Michael Lawrence Gervais, LCPC-CONDITIONAL is a Professional Counselor in Augusta, Maine. Licensed in Maine. Registered with an NPI since 2006.
- Licensed in
- ME
- In the registry since
- 2006
Practice location Address checks out
66 Stone StAugusta, ME 04330-5227
Phone: (207) 626-3455
Fax: (207) 626-3612
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence CC3046 (ME) |
|---|
Record details
| NPI number | 1508978255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPC-CONDITIONAL |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 66 Stone St, Augusta, ME 04330-5227 |
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