Individual
MS. PAMELA JEAN GAGNON DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
198 MAIN ST, ELLSWORTH, ME 04605-1941
(207) 479-0553
Mailing address
PO BOX 271, ELLSWORTH, ME 04605-0271
(207) 479-0553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC4988
ME
Other
Enumeration date
08/25/2017
Last updated
12/27/2022
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