Individual
DR. PAUL GERVAIS GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCPC, LPC, LMFT
Contact information
Practice address
16 JULIANNE LN, AUGUSTA, ME 04330-6251
(207) 622-0713
Mailing address
16 JULIANNE LN, AUGUSTA, ME 04330-6251
(207) 622-0713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC231, PC212, MF214
ME
Other
Enumeration date
03/20/2008
Last updated
07/24/2008
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