Individual
MS. GENEVA LYNN MESERVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
636 US ROUTE 1, SCARBOROUGH, ME 04074-9700
(207) 408-6670
Mailing address
93 WESTBROOK ST, SOUTH PORTLAND, ME 04106-5233
(207) 772-5671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2314
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022806
ANTHEM BLUE CROSS
ME
Enumeration date
04/17/2006
Last updated
07/08/2007
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