Individual provider · Type 1 NPI
Gerald W. Thibault, LCPC
Professional Counselor · Skowhegan, ME
NPI number
1083697270
Active
Practice location
157 Waterville Road, Suite 2
Skowhegan, ME 04976
Mailing address
27 Beech Street
Skowhegan, ME 04976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC1829 (ME) |
Professional Counselor: Definition to come...
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About NPI 1083697270
Gerald W. Thibault, LCPC's National Provider Identifier is 1083697270, issued on Nov 22, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Skowhegan, ME. The record was last updated on Jun 25, 2009.