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Individual

YEMAYA ST. CLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC-C

Contact information

Practice address
177 BRACKETT ST, SUITE B, PORTLAND, ME 04102-3857
(206) 963-7194
Mailing address
177 BRACKETT ST, SUITE B, PORTLAND, ME 04102-3857
(206) 963-7194

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4807
ME

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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