Individual
KAYCI MERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADCA
Contact information
Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 774-7111
(207) 775-1985
Mailing address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 774-7111
(207) 775-1985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD8092
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS9276
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC9079
ME
Other
Enumeration date
09/22/2022
Last updated
03/06/2026
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