Individual
CAMILLE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 871-1000
Mailing address
5 CAROLINE WAY, SACO, ME 04072-2184
(207) 213-0679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6247
ME
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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