Individual
MARISSA RUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 RAILROAD AVE STE 317, GORHAM, ME 04038-1546
(207) 222-0309
Mailing address
7 RAILROAD AVE STE 317, GORHAM, ME 04038-1546
(207) 222-0309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0890073005
VT
101YM0800X
Mental Health Counselor
0890073005
VT
101YM0800X
Mental Health Counselor
Primary
LC13688
ME
Other
Enumeration date
07/21/2011
Last updated
03/03/2026
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