Individual
COLLEEN M DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-CC
Contact information
Practice address
324 GANNETT DR STE 300, SOUTH PORTLAND, ME 04106-3269
(207) 771-5700
(207) 771-5710
Mailing address
324 GANNETT DR STE 300, SOUTH PORTLAND, ME 04106-3269
(207) 771-5700
(207) 771-5710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3995
ME
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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