Individual
ERICA M GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
747 WESTERN AVE, MANCHESTER, ME 04351-3528
(207) 622-1404
Mailing address
747 WESTERN AVE, MANCHESTER, ME 04351-3528
(207) 622-1404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3698
ME
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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