Individual
GREGORY RYAN MCELVAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
557 HAMMOND ST, BANGOR, ME 04401-4511
(207) 973-0505
Mailing address
557 HAMMOND ST, BANGOR, ME 04401-4511
(207) 973-0505
(207) 992-2175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4984
ME
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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