Individual
ANDREA LEE GERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
70 1ST RANGEWAY, WATERVILLE, ME 04901-5254
(207) 616-0705
Mailing address
70 1ST RANGEWAY, WATERVILLE, ME 04901-5254
(207) 616-0705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC7350
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
ME
Enumeration date
11/06/2020
Last updated
11/06/2020
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