Individual
NANCY M. DECESERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-CSP
Contact information
Practice address
162 MAIN ST, PRESQUE ISLE, ME 04769-2817
(207) 768-3304
(207) 764-6340
Mailing address
162 MAIN ST, PRESQUE ISLE, ME 04769-2817
(207) 768-3304
(207) 764-6340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
02/21/2012
Last updated
02/21/2012
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