Individual
PATRICK ANDREW D'AMBOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
169 TOWN FARM RD, NEW GLOUCESTER, ME 04260-4435
(207) 577-2666
Mailing address
169 TOWN FARM RD, NEW GLOUCESTER, ME 04260-4435
(207) 577-2666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC959
ME
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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