Individual
MEGHAN L NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, LCPC-CC
Contact information
Practice address
110 MAIN ST STE 1508, SACO, ME 04072-3517
(207) 671-1114
Mailing address
110 MAIN ST STE 1508, SACO, ME 04072-3517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5208
ME
Other
Enumeration date
05/16/2018
Last updated
05/09/2019
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