Individual
ANDREA MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
432 STEVENS AVE, PORTLAND, ME 04103-2607
(207) 749-7473
Mailing address
26 CALEB ST, PORTLAND, ME 04102-2236
(207) 749-7473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10837
ME
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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