Individual provider · Type 1 NPI

Michael Lawrence Gervais, LCPC-CONDITIONAL

Professional Counselor · Augusta, ME

NPI number 1508978255 Active

Practice location

66 Stone St
Augusta, ME 04330-5227

Fax (207) 626-3612

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC3046 (ME)

Professional Counselor: Definition to come...

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About NPI 1508978255

Michael Lawrence Gervais, LCPC-CONDITIONAL's National Provider Identifier is 1508978255, issued on Aug 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, ME. The record was last updated on Jul 8, 2007.