Individual
PENNY KAYE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC/C
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 313-3455
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4995
ME
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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