Individual
ELIZABETH MARY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
487 MAIN ST, LEWISTON, ME 04240-6236
(207) 522-3316
Mailing address
963 WASHINGTON ST, BATH, ME 04530-2650
(207) 522-3316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
322846
ME
101YP2500X
Professional Counselor
Primary
CC3045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588820252
—
ME
Enumeration date
08/01/2008
Last updated
03/16/2022
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