Individual
GLENN ANDREW MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CCS
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 661-6415
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 661-6415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3247
ME
Other
Enumeration date
02/26/2020
Last updated
03/11/2020
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