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Individual

CHANTEL ST. LAURENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW-CC, LADC, CCS

Contact information

Practice address
103 PARK ST, LEWISTON, ME 04240-7203
(207) 440-7922
Mailing address
103 PARK ST, LEWISTON, ME 04240-7203
(207) 440-7922

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7308
ME
101YM0800X
Mental Health Counselor
Primary
MC24832
ME

Other

Enumeration date
09/02/2021
Last updated
05/13/2026
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