Individual
RENEE PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LMT
Contact information
Practice address
509 OCEAN AVE, PORTLAND, ME 04103-4937
(207) 518-6041
Mailing address
222 SAINT JOHN ST, PORTLAND, ME 04102-3000
(072) 560-3422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7394
ME
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/06/2011
Last updated
05/04/2021
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