Individual
CYNTHIA L. DEMETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC LADC
Contact information
Practice address
442 MOOSEHEAD TRAIL, NEWPORT, ME 04953-2123
(207) 368-2072
(207) 368-5290
Mailing address
12 LAMBARD RD, 103, AUGUSTA, ME 04330-5954
(207) 368-2072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC882
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245730099
—
ME
Enumeration date
04/07/2006
Last updated
08/21/2012
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