Individual
AMANDA GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11 WARD HILL RD, TROY, ME 04987-3201
(802) 365-1751
Mailing address
11 WARD HILL RD, TROY, ME 04987-3201
(802) 365-1751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0135938
VT
101YP2500X
Professional Counselor
Primary
CC7670
ME
Other
Enumeration date
05/16/2012
Last updated
04/09/2025
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