Individual
BENJAMIN GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 PARKWOOD DR STE 112, AUGUSTA, ME 04330-6252
(207) 509-5711
Mailing address
16 JULIANNE LN, AUGUSTA, ME 04330-6251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
10/16/2025
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