Individual
GARY MICHAEL PLEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 POOL ST, BIDDEFORD, ME 04005-2877
(207) 283-8032
(207) 283-4248
Mailing address
25 POOL ST, BIDDEFORD, ME 04005-2877
(207) 283-8032
(207) 283-4248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3315
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104318
—
ME
Enumeration date
01/30/2008
Last updated
01/30/2008
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