Gervais, Michael Lawrence

Gervais, Michael Lawrence is an individual health care provider with primary practice located at 66 Stone St , Augusta ME 04330-5227. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gervais, Michael Lawrence can be contacted via phone (207) 626-3455.

Contact Information

Primary practice address
66 Stone St Augusta ME 04330-5227
Phone: (207) 626-3455
Fax: (207) 626-3612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC3046 Maine

Profile Details

NPI number 1508978255
LBN Legal business name Gervais, Michael Lawrence
Credentials LCPC-CONDITIONAL
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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